Provider Demographics
NPI:1548007511
Name:MCCLAIN, DANIELLE MONIQUE (LMHC)
Entity type:Individual
Prefix:MS
First Name:DANIELLE
Middle Name:MONIQUE
Last Name:MCCLAIN
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2211 W 41ST AVE
Mailing Address - Street 2:
Mailing Address - City:GARY
Mailing Address - State:IN
Mailing Address - Zip Code:46408-2321
Mailing Address - Country:US
Mailing Address - Phone:219-628-3980
Mailing Address - Fax:
Practice Address - Street 1:9111 BROADWAY STE JJ
Practice Address - Street 2:
Practice Address - City:MERRILLVILLE
Practice Address - State:IN
Practice Address - Zip Code:46410-7002
Practice Address - Country:US
Practice Address - Phone:219-286-3605
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-07-09
Last Update Date:2024-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health