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Individual
MS. SUSANA MONTENEGRO MCLELLAN
Active
Individual
MS. SUSANA MONTENEGRO MCLELLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC, NCC, CADC
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
231141
NC
101YA0400X
Addiction (Substance Use Disorder) Counselor
28375
IL
101YP2500X
Professional Counselor
Primary
180008189
IL
Other
Enumeration date
05/18/2012
Last updated
05/18/2012
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