Carly Alyse McClinton, LPC
Counselor, Mental Health in Henrico, VA. Individual provider (NPI-1).
NPI number1235840976
StatusActive
Last updated in NPPESDec 13, 2022
Details
- NPI
- 1235840976
- Entity type
- Individual (NPI-1)
- Name
- Carly Alyse McClinton
- Credential
- LPC
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Dec 13, 2022
- Certification date
- Dec 13, 2022
- Last updated
- Dec 13, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | 0701011785 | VA | Yes |
Practice location
6200 Lakeside AveHenrico, VA 23228-5248
Phone 804-307-2801
Mailing address
6200 Lakeside AveHenrico, VA 23228-5248
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