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General NPI Number Information
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NPI Number | 1073329488
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Entity Type | Organization
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Legal Business Name | AARON MCLELLAN, LPC COUNSELING SERVICES, PLLC
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Dates
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Enumeration Date | 12/10/2024
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Last Update Date | 12/10/2024
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Provider Practice Location Address
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Address Line | 2700 SE OTIS CORLEY DR STE 14
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City | BENTONVILLE
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State | AR
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Zip | 72712-4184
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Country | US
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Telephone | 479-234-9129
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Fax |
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Provider Business Mailing Address
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Address Line | 3105 S 28TH PL APT 5
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City | ROGERS
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State | AR
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Zip | 72758-4729
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Country | US
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Telephone | 479-234-9129
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Fax |
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Authorized Official
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Title or Position | COUNSELOR
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Name | MR. AARON MCLELLAN
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Credential | LPC
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Telephone | 479-234-9129
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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