Mclellan, Susana Montenegro

Mclellan, Susana Montenegro is an individual health care provider with primary practice located at 4753 N Broadway St Suite 720, Chicago IL 60640-5266. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Mclellan, Susana Montenegro can be contacted via phone (773) 899-3245.

Contact Information

Primary practice address
4753 N Broadway St Suite 720 Chicago IL 60640-5266
Phone: (773) 899-3245
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X 231141 North Carolina
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 28375 Illinois
Behavioral Health & Social Service Providers / Professional 101YP2500X 180008189 Illinois

Profile Details

NPI number 1073873535
LBN Legal business name Mclellan, Susana Montenegro
Credentials LCPC, NCC, CADC
Entity Individual
Sole proprietor 1 No
Enumeration date May 18th, 2012
Last updated May 18th, 2012 - about 14 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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