Provider Demographics
NPI:1801065750
Name:MCCLURE, CALVIN O (LPC)
Entity type:Individual
Prefix:
First Name:CALVIN
Middle Name:O
Last Name:MCCLURE
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7700 NONEMAN DR
Mailing Address - Street 2:
Mailing Address - City:NORTH RICHLAND HILLS
Mailing Address - State:TX
Mailing Address - Zip Code:76180-3441
Mailing Address - Country:US
Mailing Address - Phone:254-449-4663
Mailing Address - Fax:817-581-7540
Practice Address - Street 1:2126 E HWY 190
Practice Address - Street 2:STE 4
Practice Address - City:COPPERAS COVE
Practice Address - State:TX
Practice Address - Zip Code:76522-2589
Practice Address - Country:US
Practice Address - Phone:254-449-4663
Practice Address - Fax:817-581-7540
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-25
Last Update Date:2009-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX15658101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health