Provider Demographics
NPI:1861640906
Name:MCCREADY, LORI JO (LPCC)
Entity Type:Individual
Prefix:MRS
First Name:LORI
Middle Name:JO
Last Name:MCCREADY
Suffix:
Gender:F
Credentials:LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:68620 SCOTT ST.
Mailing Address - Street 2:
Mailing Address - City:LANSING
Mailing Address - State:OH
Mailing Address - Zip Code:43934
Mailing Address - Country:US
Mailing Address - Phone:740-635-0310
Mailing Address - Fax:
Practice Address - Street 1:168 E MAIN ST
Practice Address - Street 2:
Practice Address - City:SAINT CLAIRSVILLE
Practice Address - State:OH
Practice Address - Zip Code:43950-1534
Practice Address - Country:US
Practice Address - Phone:740-296-4773
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-03
Last Update Date:2008-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHE.0003280101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health