Organization
FLETCHER MCCLELLAND, LPC, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FLETCHER MCCLELLAND (OWNER)
(706) 353-8188
Entity
Organization
Contact information
Practice address
700 SUNSET DR, #202, ATHENS, GA 30606-2293
(706) 353-8188
Mailing address
700 SUNSET DR, #202, ATHENS, GA 30606-2293
(706) 353-8188
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
2465
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1083709414
INDIVIDUAL PROVIDER NPI
GA
01
—
2465
LICENSED COUNSELOR
GA
Enumeration date
03/24/2007
Last updated
08/22/2020
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