Individual
SUSAN ANN MCLEAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC, NCC, CCH
Contact information
Practice address
172 WACCAMAW MEDICAL PARK CT, CONWAY, SC 29526-8965
(843) 457-0946
Mailing address
219 DORA DR, MYRTLE BEACH, SC 29588-6293
(843) 457-0946
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
5200
SC
101YM0800X
Mental Health Counselor
5200
SC
101YP2500X
Professional Counselor
Primary
5200
SC
Other
Enumeration date
11/11/2011
Last updated
10/21/2014
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