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:
Health care specialties
| Specialty | Code | License # | 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 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1710030523 | NPPES |
| North Carolina | MEDICAID | 6112005 |
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