Provider Demographics
NPI:1629107453
Name:MCLELLAN-SAMS, DEE ANN (LCPC, LAC, CAMS II)
Entity Type:Individual
Prefix:MRS
First Name:DEE
Middle Name:ANN
Last Name:MCLELLAN-SAMS
Suffix:
Gender:F
Credentials:LCPC, LAC, CAMS II
Other - Prefix:MS
Other - First Name:DEE
Other - Middle Name:ANN
Other - Last Name:MCLELLAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCPC, LAC, CAMS II
Mailing Address - Street 1:2705 MAIN ST.
Mailing Address - Street 2:CHOICES-COMPASSIONATE CARE COUNSELING CENTER
Mailing Address - City:MILES CITY
Mailing Address - State:MT
Mailing Address - Zip Code:59301
Mailing Address - Country:US
Mailing Address - Phone:406-951-0308
Mailing Address - Fax:406-234-2692
Practice Address - Street 1:2705 MAIN ST
Practice Address - Street 2:CHOICES-COMPASSIONATE CARE COUNSELING CENTER
Practice Address - City:MILES CITY
Practice Address - State:MT
Practice Address - Zip Code:59301
Practice Address - Country:US
Practice Address - Phone:406-951-0308
Practice Address - Fax:406-234-2692
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-05
Last Update Date:2016-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK455101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health