| Kimberly B. Mcclelland, Lcsw | |
|
820 Jordan St. Ste 510w Shreveport LA 71101 | |
| (318) 861-1090 | |
| (318) 606-2038 |
| Full Name | Kimberly B. Mcclelland, Lcsw |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 820 Jordan St. Ste 510w, Shreveport, Louisiana |
| Authorized Official Name and Position | Jennifer Sizemore (OFFICE MANAGER) |
| Authorized Official Contact | 3188611090 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kimberly B. Mcclelland, Lcsw 820 Jordan St Ste 510w Shreveport LA 71101-4526 Ph: (318) 861-1090 | Kimberly B. Mcclelland, Lcsw 820 Jordan St. Ste 510w Shreveport LA 71101 Ph: (318) 861-1090 |
| NPI Number | 1871083485 |
|---|---|
| Provider Enumeration Date | 05/18/2018 |
| Last Update Date | 05/18/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871083485 | NPI | - | NPPES |
| 2189 | Other | LA | LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 2189 (Louisiana) | Primary |
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