MEDICARE: MS. KERRI LEE MCCLAIN LPC

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	101YP2500X	Professional Counselor	3136	NC
2	101YS0200X	School Counselor		NC

General Provider Information

NPI Number	:	1679614937
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. KERRI LEE MCCLAIN LPC

Provider Business Mailing Address
First Line	:	5320 COVINGTON CROSS DR
Second Line	:
City	:	KNIGHTDALE
State	:	NC
Zip	:	27545-7755
Country	:	US
Telephone Number	:	919-261-9512
Fax Number	:

Provider Business Practice Location Address
First Line	:	848 COUNTRY CLUB RD
Second Line	:
City	:	ROCKY MOUNT
State	:	NC
Zip	:	27804-1706
Country	:	US
Telephone Number	:	252-937-5493
Fax Number	:	252-937-5520

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

Provider Enumeration Date	:	02/09/2007
Last Update Date	:	09/11/2025

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