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Individual

IAN MCLOONE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LPC, LADC

Contact information

Practice address
332 MINNESOTA ST, W1260, SAINT PAUL, MN 55101-1314
(651) 348-7611
Mailing address
332 MINNESOTA ST, W1260, SAINT PAUL, MN 55101-1314
(651) 348-7611

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
303656
MN
101YM0800X
Mental Health Counselor
Primary
01717
MN

Other

Enumeration date
01/10/2017
Last updated
01/10/2017
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