Individual
MR. DONALD JEFFREY MCCLENDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, ALC, NCC
Contact information
Practice address
814 PALMER RD STE B4, MADISON, AL 35758-3185
(256) 325-0467
Mailing address
712 RISON AVE NE, HUNTSVILLE, AL 35801-3556
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
C3543A
AL
Other
Enumeration date
06/22/2020
Last updated
06/22/2020
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