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1053950006
JONATHAN MCCLELLAN
OCEANSIDE, CA
NPI
1053950006
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2019-12-22
Last Update Date
2019-12-22
Business Address
Mr. JONATHAN MCCLELLAN Radt-1
2122 S EL CAMINO REAL STE 102
OCEANSIDE, CA 92054-6209
Phone number: 951-448-8005
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Mailing Address
Mr. JONATHAN MCCLELLAN Radt-1
2122 S EL CAMINO REAL STE 102
OCEANSIDE, CA 92054-6209
Phone number:
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