Healthcare Provider Details

I. General information

NPI: 1801736582
Provider Name (Legal Business Name): CHRISTINA MICHELLE MCCLURE PLPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/31/2026
Last Update Date: 04/07/2026
Certification Date: 04/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1020 PCHAS WAY
FARMINGTON MO
63640-3026
US

IV. Provider business mailing address

1020 PCHAS WAY
FARMINGTON MO
63640-3026
US

V. Phone/Fax

Practice location:
  • Phone: 573-756-6744
  • Fax: 573-218-0445
Mailing address:
  • Phone: 573-756-6744
  • Fax: 573-218-0445

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number2026012858
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: