Individual
JOEL A MCCLEARY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, MED
Contact information
Practice address
17815 WOODTHRUSH LN, SOUTH BEND, IN 46635-1329
(402) 770-0464
Mailing address
17815 WOODTHRUSH LN, SOUTH BEND, IN 46635-1329
(402) 770-0464
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
C2-1963
IN
Other
Enumeration date
02/19/2015
Last updated
02/19/2015
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