Individual provider · Type 1 NPI
Susana Montenegro McLellan, LCPC, NCC, CADC
Professional Counselor · Chicago, IL
NPI number
1073873535
Active
Practice location
4753 N Broadway St, Suite 720
Chicago, IL 60640-5266
Mailing address
6516 N Greenview Ave
Chicago, IL 60626-5008
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor | 101Y00000X | 231141 (NC) |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 28375 (IL) |
| Professional Counselor Primary | 101YP2500X | 180008189 (IL) |
Professional Counselor: Definition to come...
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About NPI 1073873535
Susana Montenegro McLellan, LCPC, NCC, CADC's National Provider Identifier is 1073873535, issued on May 18, 2012. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Chicago, IL. The record was last updated on May 18, 2012.