Individual
MS. JACQUELINE ANN MCCLURE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
8705 CELITA CT, JESSUP, MD 20794-9509
(301) 498-7218
Mailing address
8705 CELITA CT, JESSUP, MD 20794-9509
(301) 498-7218
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LC3976
MD
101YM0800X
Mental Health Counselor
LC3976
MD
101YP2500X
Professional Counselor
LC3976
MD
101YS0200X
School Counselor
LC3976
MD
106H00000X
Marriage & Family Therapist
LC3976
MD
Other
Enumeration date
04/29/2011
Last updated
04/29/2011
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