Individual
MIRAN H. MCCLENDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCADC, LPCC
Contact information
Practice address
405 VIOLET RD, CRITTENDEN, KY 41030-8956
(859) 301-5901
(859) 301-5940
Mailing address
PO BOX 635283, CINCINNATI, OH 45263-5283
(859) 301-5901
(859) 301-5940
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
165248
KY
101YM0800X
Mental Health Counselor
Primary
172295
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100504000
—
KY
Enumeration date
01/13/2015
Last updated
01/13/2026
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