Individual
THERESA MCCLELLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ALC
Contact information
Practice address
39 PRIVATE ROAD 1201, NEW BROCKTON, AL 36351-7910
(334) 330-0060
(334) 894-5408
Mailing address
39 PRIVATE ROAD 1201, NEW BROCKTON, AL 36351-7910
(334) 330-0060
(334) 894-5408
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
ALC04481
AL
Other
Enumeration date
10/04/2023
Last updated
10/04/2023
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