Individual
MR. ERIC D MCLELLAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPCC
Contact information
Practice address
1948 E WHIPP RD STE A2, KETTERING, OH 45440-4239
(937) 643-0091
(866) 409-5783
Mailing address
1948 E WHIPP RD STE A2, KETTERING, OH 45440-4239
(937) 643-0091
(866) 409-5783
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
E3231
OH
101YM0800X
Mental Health Counselor
Primary
E3231
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
165435
COMPSYCH
OH
01
—
19432000
MAGELLAN
OH
01
—
6280674
UBH
OH
01
—
947770
CIGNA
OH
Enumeration date
10/16/2006
Last updated
09/19/2014
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