Provider Demographics
NPI:1740759091
Name:MCNALLY, CLAIRE (LPCC 17244)
Entity type:Individual
Prefix:
First Name:CLAIRE
Middle Name:
Last Name:MCNALLY
Suffix:
Gender:F
Credentials:LPCC 17244
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1761 HOTEL CIR S STE 121
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92108-3318
Mailing Address - Country:US
Mailing Address - Phone:619-736-9023
Mailing Address - Fax:
Practice Address - Street 1:4335 OREGON ST
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92104-1210
Practice Address - Country:US
Practice Address - Phone:619-736-9023
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-11-15
Last Update Date:2025-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA17244101YP2500X
CA10355101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA723483OtherTLC