MEDICARE: CHRISTINA MICHELLE MCCLURE PLPC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101Y00000X	Counselor	2026012858	MO

General Provider Information

NPI Number	:	1801736582
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRISTINA MICHELLE MCCLURE PLPC

Provider Business Mailing Address
First Line	:	1020 PCHAS WAY
Second Line	:
City	:	FARMINGTON
State	:	MO
Zip	:	63640-3026
Country	:	US
Telephone Number	:	573-756-6744
Fax Number	:	573-218-0445

Provider Business Practice Location Address
First Line	:	1020 PCHAS WAY
Second Line	:
City	:	FARMINGTON
State	:	MO
Zip	:	63640-3026
Country	:	US
Telephone Number	:	573-756-6744
Fax Number	:	573-218-0445

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/31/2026
Last Update Date	:	03/31/2026

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