Provider Demographics
NPI:1396475992
Name:MCLEARY PROFESSIONAL COUNSELING
Entity type:Organization
Organization Name:MCLEARY PROFESSIONAL COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LPC, SOLE PROPRIETOR
Authorized Official - Prefix:
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:WADW
Authorized Official - Last Name:MCLEARY
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:814-241-8757
Mailing Address - Street 1:1360 EISENHOWER BLVD STE 204
Mailing Address - Street 2:
Mailing Address - City:JOHNSTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:15904-3338
Mailing Address - Country:US
Mailing Address - Phone:814-241-8757
Mailing Address - Fax:814-298-6559
Practice Address - Street 1:1360 EISENHOWER BLVD STE 204
Practice Address - Street 2:
Practice Address - City:JOHNSTOWN
Practice Address - State:PA
Practice Address - Zip Code:15904-3338
Practice Address - Country:US
Practice Address - Phone:814-241-8757
Practice Address - Fax:814-298-6559
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-06-15
Last Update Date:2022-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty