Individual
EBONY MCCLINTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
201 MORRIS AVE, MONROE, LA 71202-2067
(318) 286-1379
Mailing address
396 E SOUTHWEST PKWY APT 2526, LEWISVILLE, TX 75067-6353
(318) 286-1379
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
04/12/2018
Last updated
04/12/2018
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