Individual
ANNIE MCLENNAN
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
CSAC II
Contact information
Practice address
2298 NORRIS AVE, CRESCENT CITY, CA 95531-9344
(707) 464-2919
(707) 464-8218
Mailing address
2298 NORRIS AVE, CRESCENT CITY, CA 95531-9344
(707) 464-2919
(707) 464-8218
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
049
CA
Other
Enumeration date
12/22/2005
Last updated
07/08/2007
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