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1730546110
JUSTIN MCCLENNY
AUSTIN, TX
NPI
1730546110
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: TX 11657)
Enumeration Date
2016-01-15
Last Update Date
2016-01-15
Business Address
-- JUSTIN MCCLENNY LCDC
1631 E 2ND ST
AUSTIN, TX 78702-4490
Phone number: 512-804-3650
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Mailing Address
-- JUSTIN MCCLENNY LCDC
1430 COLLIER ST
AUSTIN, TX 78704-2911
Phone number: 512-472-4357
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