Mcclelland, Carol A.

Mcclelland, Carol A. is an individual health care provider with primary practice located at 5850 Fayetteville Rd Ste 210 , Durham NC 27713-6289. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is her primary health care specialty. Mcclelland, Carol A. can be contacted via phone (919) 590-5447.

Contact Information

Primary practice address
5850 Fayetteville Rd Ste 210 Durham NC 27713-6289
Phone: (919) 590-5447
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 658 North Carolina
Behavioral Health & Social Service Providers / Professional 101YP2500X 4242 North Carolina

Profile Details

NPI number 1710030523
LBN Legal business name Mcclelland, Carol A.
Credentials MA, LCMHC, LCAS, CCS
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 18th, 2007
Last updated Mar 9th, 2024 - about last year

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 1710030523 NPPES
North Carolina MEDICAID 6112005

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