Mcclung, Joseph Michael

Mcclung, Joseph Michael is an sole proprietor health care provider with primary practice located at 5501 Executive Center Dr Suite 220, Charlotte NC 28212-8866. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Agencies / Community/Behavioral Health. Behavioral Health & Social Service Providers / Professional is his primary health care specialty. Mcclung, Joseph Michael can be contacted via phone (704) 493-1003.

Contact Information

Primary practice address
5501 Executive Center Dr Suite 220 Charlotte NC 28212-8866
Fax: (866) 219-1960
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 5212 North Carolina
Agencies / Community/Behavioral Health 251S00000X 5212 North Carolina

Profile Details

NPI number 1255480281
LBN Legal business name Mcclung, Joseph Michael
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 9th, 2007
Last updated Jul 8th, 2008 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1255480281 NPPES
North Carolina MEDICAID 6103149
North Carolina MEDICAID 6005849

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