Individual
DASHANNA N MCCLELLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1284 PEBBLE CREEK DR, LIMA, OH 45801-1765
(419) 236-7696
Mailing address
1284 PEBBLE CREEK DR, LIMA, OH 45801-1765
(419) 236-7696
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
101YA0400X
OH
171M00000X
Case Manager/Care Coordinator
101YA00400X
OH
Other
Enumeration date
07/31/2024
Last updated
07/31/2024
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