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Individual

MS. ADRIAN CAROL MCCLELLAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
L.C.S.W.

Contact information

Practice address
1400 E COOLEY DR STE 203, COLTON, CA 92324-3946
(909) 499-4404
(909) 510-8182
Mailing address
709 PINE VALLEY RD, BANNING, CA 92220-5358
(909) 499-4404
(909) 510-8182

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
LCS 13396
CA
1041C0700X
Clinical Social Worker
Primary
LCS 13396
CA

Other

Enumeration date
04/09/2009
Last updated
04/19/2022
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