Doctor Name: | MS. CHRISTIENNE MORSE MCCLURE |
NPI Number: | 1003125667 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPC |
License Number: | LCPC-3437 |
Business Practice Address: | 9254 Mosby St Suite B Manassas, VA - 201105038 |
Business Phone Number: | 7038955208 |
Business Fax Number: | 8885090859 |
Mailing Address: | 9254 Mosby St, Suite B MANASSAS |
State: | VA |
Postal Code: | 201105038 |
Phone Number: | 7038955208 |
Fax Number: | 8885090859 |
NPI Enumeration Date: | 09/30/2010 |
NPI Last Update Date: | 01/20/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | LCPC-3437 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | ID |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |