Provider Demographics
NPI:1841810330
Name:MCCLINTIC, DEBORAH JUNE (LPC)
Entity type:Individual
Prefix:MS
First Name:DEBORAH
Middle Name:JUNE
Last Name:MCCLINTIC
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:724 UNDERWOOD RD
Mailing Address - Street 2:
Mailing Address - City:LEWISBURG
Mailing Address - State:WV
Mailing Address - Zip Code:24901-5112
Mailing Address - Country:US
Mailing Address - Phone:304-645-1454
Mailing Address - Fax:
Practice Address - Street 1:724 UNDERWOOD RD
Practice Address - Street 2:
Practice Address - City:LEWISBURG
Practice Address - State:WV
Practice Address - Zip Code:24901-5112
Practice Address - Country:US
Practice Address - Phone:304-645-1454
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-04-24
Last Update Date:2020-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV1303103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling