Provider Demographics
NPI:1699349936
Name:MCCLAIN, JESSICA LEIGH (MA, LMHC, NCC)
Entity type:Individual
Prefix:MRS
First Name:JESSICA
Middle Name:LEIGH
Last Name:MCCLAIN
Suffix:
Gender:F
Credentials:MA, LMHC, NCC
Other - Prefix:MS
Other - First Name:JESSICA
Other - Middle Name:LEIGH
Other - Last Name:STOCKS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1788 TURKEY OAK DR
Mailing Address - Street 2:
Mailing Address - City:NAVARRE
Mailing Address - State:FL
Mailing Address - Zip Code:32566-7317
Mailing Address - Country:US
Mailing Address - Phone:850-341-3895
Mailing Address - Fax:
Practice Address - Street 1:1788 TURKEY OAK DR
Practice Address - Street 2:
Practice Address - City:NAVARRE
Practice Address - State:FL
Practice Address - Zip Code:32566-7317
Practice Address - Country:US
Practice Address - Phone:850-341-3895
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-05-19
Last Update Date:2023-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL22891101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health