Provider Demographics
NPI:1730872029
Name:MCCLAIN, CASEY CHRISTINE (LPC)
Entity type:Individual
Prefix:
First Name:CASEY
Middle Name:CHRISTINE
Last Name:MCCLAIN
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1250 E US HIGHWAY 36
Mailing Address - Street 2:
Mailing Address - City:TUSCOLA
Mailing Address - State:IL
Mailing Address - Zip Code:61953-8020
Mailing Address - Country:US
Mailing Address - Phone:217-253-4137
Mailing Address - Fax:217-599-3854
Practice Address - Street 1:1250 E US HIGHWAY 36
Practice Address - Street 2:
Practice Address - City:TUSCOLA
Practice Address - State:IL
Practice Address - Zip Code:61953-8020
Practice Address - Country:US
Practice Address - Phone:217-253-4137
Practice Address - Fax:217-599-3854
Is Sole Proprietor?:No
Enumeration Date:2023-06-01
Last Update Date:2023-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL178016529101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health