Individual
RENACHANTEL MCCLAIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
10 W SQUARE LAKE RD STE 103, BLOOMFIELD HILLS, MI 48302-0466
(248) 497-8953
Mailing address
32224 CONCORD DR APT A, MADISON HEIGHTS, MI 48071-1243
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
4101006637
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13516419
CAQH
—
Enumeration date
01/28/2015
Last updated
10/12/2016
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