Mccluskey, Michael E.

Mccluskey, Michael E. is an individual health care provider with primary practice located at 2187 Swanson Ave , Lake Havasu City AZ 86403-6838. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is his primary health care specialty. Mccluskey, Michael E. can be contacted via phone (928) 855-3432.

Contact Information

Primary practice address
2187 Swanson Ave Lake Havasu City AZ 86403-6838
Phone: (928) 855-3432
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X LISAC-1414 Arizona
Behavioral Health & Social Service Providers / Professional 101YP2500X LPC-2374 Arizona

Profile Details

NPI number 1619910189
LBN Legal business name Mccluskey, Michael E.
Credentials LPC, LISAC
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 13th, 2006
Last updated Apr 7th, 2016 - about 8 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 1619910189 NPPES
Arizona Other 615049 AHCCCS #

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