Provider Information for 1861077349
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ALYSIA MCCLEAN LPC
Sex: Female
NPI: 1861077349
Last Updated: 2021-04-22
Certification Date: 2021-04-22
Certification Date: 2021-04-22
Details
| Name | Value | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| NPI | 1861077349 | ||||||||
| Enumeration Date | 2021-03-16 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | 2101 CRAWFORD ST STE 208 HOUSTON, TX 77002-8941 United States Phone: 713-739-9725 | Fax:866-825-9703 | ||||||||
| Primary Practice Address | 2101 CRAWFORD ST STE 208 HOUSTON, TX 77002-8941 United States Phone: 713-739-9725 | Fax:866-825-9703 | ||||||||
| Secondary Practice Address(es) | 59335 RIVER WEST DR | ||||||||
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