Individual
MR. BRENDON MCLELLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CDC-A
Contact information
Practice address
750 ABBE RD S, ELYRIA, OH 44035-7246
(440) 323-5121
Mailing address
750 ABBE RD S, ELYRIA, OH 44035-7246
(440) 323-5121
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CDCA.170575
OH
Other
Enumeration date
07/17/2019
Last updated
07/17/2019
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