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Individual

MR. MICHAELANGELO MCCLENDON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LMHCA

Contact information

Practice address
4095 POINT BAR RD APT 1C, INDIANAPOLIS, IN 46268-3774
(240) 353-9275
(317) 222-4294
Mailing address
4095 POINT BAR RD APT 1C, INDIANAPOLIS, IN 46268-3774
(240) 353-9275

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
99123093A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200960560
IN
Enumeration date
12/16/2009
Last updated
03/12/2024
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