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

TaxonomyCodeLicense
Counselor 101Y00000X231141 (NC)
Addiction (Substance Use Disorder) Counselor 101YA0400X28375 (IL)
Professional Counselor Primary 101YP2500X180008189 (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.