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NPI Code Detail

MEDICARE: MS. CHER N/A MCCLELLAN LMHC

MEDICARE: MS. CHER N/A MCCLELLAN LMHC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health CounselorMH-4071FL

General Provider Information

NPI Number : 1780620500
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. CHER N/A MCCLELLAN LMHC
Provider Business Mailing Address
First Line : 151 MARY ESTHER BLVD
Second Line : SUITE 201
City : MARY ESTHER
State : FL
Zip : 32569-1972
Country : US
Telephone Number : 850-862-6030
Fax Number : 850-862-6030
Provider Business Practice Location Address
First Line : 151 MARY ESTHER BLVD
Second Line : SUITE 201
City : MARY ESTHER
State : FL
Zip : 32569-1972
Country : US
Telephone Number : 850-862-6030
Fax Number : 850-862-6030
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/21/2006
Last Update Date : 09/08/2008

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Directions to “ MS. CHER N/A MCCLELLAN LMHC” Practice Location

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