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Individual

MR. KYLE MCCLURE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LCPC, LMAC

Contact information

Practice address
2001 E PRAIRIE CIR STE E, OLATHE, KS 66062-5419
(913) 735-9444
Mailing address
509 S VALLEY RD, OLATHE, KS 66061-3918
(913) 481-8132

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
2454
KS
101YM0800X
Mental Health Counselor
Primary
2549
KS
101YP1600X
Pastoral Counselor
2454
KS
101YP2500X
Professional Counselor
2454
KS
1041C0700X
Clinical Social Worker
2549
KS

Other

Enumeration date
06/06/2014
Last updated
02/13/2020
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