Mcclanahan, Cullena Jill

Mcclanahan, Cullena Jill is an individual health care provider with primary practice located at 41 W 5Th Ave , Williamson WV 25661-3201. She recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as her primary health care specialty. Mcclanahan, Cullena Jill can be contacted via phone (304) 235-3390.

Contact Information

Primary practice address
41 W 5Th Ave Williamson WV 25661-3201
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / School 103TS0200X West Virginia

Profile Details

NPI number 1235619917
LBN Legal business name Mcclanahan, Cullena Jill
Credentials M.S.
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 21st, 2018
Last updated Aug 21st, 2018 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1235619917 NPPES
West Virginia MEDICAID 403

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