MEDICARE: KRYSTIONA MCLEAN

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
1	101Y00000X	Counselor

General Provider Information

NPI Number	:	1841127651
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KRYSTIONA MCLEAN

Provider Business Mailing Address
First Line	:	8225 OAKLEY CIR
Second Line	:
City	:	UNION CITY
State	:	GA
Zip	:	30291-7164
Country	:	US
Telephone Number	:	850-585-9658
Fax Number	:

Provider Business Practice Location Address
First Line	:	1640 POWERS FERRY RD SE STE 100
Second Line	:
City	:	MARIETTA
State	:	GA
Zip	:	30067-5491
Country	:	US
Telephone Number	:	404-660-7676
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/06/2026
Last Update Date	:	05/18/2026

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Directions to “ KRYSTIONA MCLEAN ” Practice Location

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