Individual
MR. TIMMEY M MCCLURE JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
236 SAN JOSE ROOM 125 EAST, DODGE CITY, KS 67801-2720
(620) 408-4728
Mailing address
3011 ANNA AVE, DODGE CITY, KS 67801-6519
(620) 408-4728
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC3558
KS
Other
Enumeration date
02/18/2020
Last updated
05/13/2020
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