Individual provider · Type 1 NPI

Connie Jane McClain, BSW

Addiction (Substance Use Disorder) Counselor · Mangum, OK

NPI number 1861724577 Active

Practice location

2 Wickersham St
Mangum, OK 73554-9117

Mailing address

PO Box 364
Carter, OK 73627-0364

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1861724577

Connie Jane McClain, BSW's National Provider Identifier is 1861724577, issued on Feb 4, 2010. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Mangum, OK. The record was last updated on Feb 4, 2010.