Doctor Name: | MARTHA ELIZABETH MCCLURE |
NPI Number: | 1265735815 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MA, LCMHC |
License Number: | 5283 |
Business Practice Address: | 186 Iron Kettle Rd Warner, NH - 032784403 |
Business Phone Number: | 3035024775 |
Business Fax Number: | |
Mailing Address: | 186 Iron Kettle Rd, WARNER |
State: | NH |
Postal Code: | 032784403 |
Phone Number: | 3035024775 |
Fax Number: | |
NPI Enumeration Date: | 12/20/2010 |
NPI Last Update Date: | 11/27/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 5283 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CO |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |