Provider Demographics
NPI:1881312171
Name:MCCLEERY, RUTH MROCH (LMHC)
Entity type:Individual
Prefix:
First Name:RUTH
Middle Name:MROCH
Last Name:MCCLEERY
Suffix:
Gender:
Credentials:LMHC
Other - Prefix:
Other - First Name:RUTH
Other - Middle Name:LYNN
Other - Last Name:MROCH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RUTH GREEN
Mailing Address - Street 1:507 18TH ST
Mailing Address - Street 2:
Mailing Address - City:SPIRIT LAKE
Mailing Address - State:IA
Mailing Address - Zip Code:51360-1552
Mailing Address - Country:US
Mailing Address - Phone:712-336-8126
Mailing Address - Fax:
Practice Address - Street 1:507 18TH ST
Practice Address - Street 2:
Practice Address - City:SPIRIT LAKE
Practice Address - State:IA
Practice Address - Zip Code:51360-1552
Practice Address - Country:US
Practice Address - Phone:123-368-1267
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-08-22
Last Update Date:2025-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA117683101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health