Provider Demographics
NPI:1083709414
Name:MCCLELLAND, FLETCHER K (LPC)
Entity Type:Individual
Prefix:MR
First Name:FLETCHER
Middle Name:K
Last Name:MCCLELLAND
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:700 SUNSET DR.
Mailing Address - Street 2:#202
Mailing Address - City:ATHENS
Mailing Address - State:GA
Mailing Address - Zip Code:30606
Mailing Address - Country:US
Mailing Address - Phone:706-353-8188
Mailing Address - Fax:706-613-8040
Practice Address - Street 1:700 SUNSET DR.
Practice Address - Street 2:#202
Practice Address - City:ATHENS
Practice Address - State:GA
Practice Address - Zip Code:30606
Practice Address - Country:US
Practice Address - Phone:706-353-8188
Practice Address - Fax:706-613-8040
Is Sole Proprietor?:No
Enumeration Date:2006-10-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA002465101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health