| Organization Name: | CLEARY PSYCHOTHERAPY & CONSULTING, LLC |
| NPI Number: | 1083903942 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | SANDRA L CLEARY (DIRECTOR/PSYCHOTHERAPIST) |
| Mailing Address: | 41620 Courthouse Drive Suite 7 Leonardtown |
| State: | MD US |
| Postal Code: | 20650 |
| Phone Number: | 4439684989 |
| Fax Number: | 3014755738 |
| NPI Enumeration Date: | 03/31/2011 |
| NPI Last Update Date: | 03/31/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | LC3736 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MD |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |