Individual
DR. CONSTANCEATHENA MACLEAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD, LPC, CFT
Contact information
Practice address
961 HOUSE MOUNTAIN RD, MASON, TX 76856-6550
(325) 347-7088
Mailing address
961 HOUSE MOUNTAIN RD, MASON, TX 76856-6550
(325) 347-7088
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
260296
OH
Other
Enumeration date
11/24/2016
Last updated
11/24/2016
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