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NPI Code Detail

MEDICARE: LEANN C MCCARTY LPC

MEDICARE: LEANN C MCCARTY 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
1101YP2500XProfessional Counselor002530MO

General Provider Information

NPI Number : 1720142243
Entity Type Code : Individual
Provider Name (Legal Business Name) : LEANN C MCCARTY LPC
Provider Business Mailing Address
First Line : 21 MUNICIPAL DR
Second Line :
City : ARNOLD
State : MO
Zip : 63010-1012
Country : US
Telephone Number : 636-296-6206
Fax Number : 636-931-2139
Provider Business Practice Location Address
First Line : 21 MUNICIPAL DR
Second Line :
City : ARNOLD
State : MO
Zip : 63010-1012
Country : US
Telephone Number : 636-296-6206
Fax Number : 636-931-2139
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/20/2006
Last Update Date : 07/08/2007

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Directions to “ LEANN C MCCARTY LPC” Practice Location

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