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Individual

MR. JEFFREY LYNN MCLAIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CAC, LCAS

Contact information

Practice address
1477 TED MELTON ROAD, CHESTERFIELD, SC 29709-0347
(843) 623-3077
(843) 623-3077
Mailing address
P.O. BOX 347, 1477 TED MELTON ROAD, CHESTERFIELD, SC 29709-0347
(843) 623-3077
(843) 623-3077

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
11040110
SC

Other

Enumeration date
07/21/2011
Last updated
07/21/2011
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