Individual
MR. MICHAEL E. MCCLUSKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC, LISAC
Contact information
Practice address
2187 SWANSON AVE, LAKE HAVASU CITY, AZ 86403-6838
(928) 855-3432
Mailing address
PO BOX 1309, LAKE HAVASU CITY, AZ 86405-1309
(928) 855-7493
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LISAC-1414
AZ
101YP2500X
Professional Counselor
Primary
LPC-2374
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
615049
AHCCCS #
AZ
Enumeration date
06/13/2006
Last updated
04/07/2016
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us