Individual
CAROL A. MCCLELLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LCMHC, LCAS, CCS
Contact information
Practice address
5850 FAYETTEVILLE RD STE 210, DURHAM, NC 27713-6289
(919) 590-5447
Mailing address
137 HACKBERRY LN, PITTSBORO, NC 27312-5854
(910) 890-0030
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
658
NC
101YP2500X
Professional Counselor
4242
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6112005
—
NC
Enumeration date
01/18/2007
Last updated
03/09/2024
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