Mcclendon, Angela C

Mcclendon, Angela C is an sole proprietor health care provider with primary practice located at 39990 Faure Rd , Hemet CA 92544-9408. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / School, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Mcclendon, Angela C can be contacted via phone (951) 708-4019.

Contact Information

Primary practice address
39990 Faure Rd Hemet CA 92544-9408
Phone: (951) 708-4019
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / School 1041S0200X CSW004788 Georgia
Behavioral Health & Social Service Providers / Clinical 1041C0700X CSW004788 Georgia

Profile Details

NPI number 1255778981
LBN Legal business name Mcclendon, Angela C
Credentials LCSW, BCD, CCTP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 4th, 2013
Last updated Dec 30th, 2020 - about 4 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 1255778981 NPPES
Georgia MEDICAID 003134579A

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