Provider Demographics
NPI:1992126700
Name:MCCLURE-HUNLEY, KESHA (LPCC)
Entity type:Individual
Prefix:
First Name:KESHA
Middle Name:
Last Name:MCCLURE-HUNLEY
Suffix:
Gender:F
Credentials:LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:200 HOME RD
Mailing Address - Street 2:
Mailing Address - City:COVINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:41011-1942
Mailing Address - Country:US
Mailing Address - Phone:592-618-7688
Mailing Address - Fax:859-291-2431
Practice Address - Street 1:525 W 5TH ST STE 219
Practice Address - Street 2:
Practice Address - City:COVINGTON
Practice Address - State:KY
Practice Address - Zip Code:41011-1293
Practice Address - Country:US
Practice Address - Phone:592-618-7688
Practice Address - Fax:859-291-2431
Is Sole Proprietor?:No
Enumeration Date:2013-12-20
Last Update Date:2024-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0042452Medicaid
KY7100272650Medicaid