Individual
MS. ANGELA JO MCCLELLAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RAC
Contact information
Practice address
145 VICTORIA DR, LAKE CHARLES, LA 70611-4641
(337) 855-9773
Mailing address
PO BOX 1243, DERIDDER, LA 70634-1243
(337) 226-5527
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
5010
—
Other
Enumeration date
02/10/2020
Last updated
02/10/2020
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