Individual
JASON ALLEN MCCLURE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA, LPCC
Contact information
Practice address
1782 CLEAR LAKE AVE STE 248, MILPITAS, CA 95035-7014
(669) 467-9697
Mailing address
142 N MILPITAS BLVD # 419, MILPITAS, CA 95035-4401
(669) 467-9697
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
11919
CA
Other
Enumeration date
08/21/2019
Last updated
04/12/2023
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