Provider Demographics
NPI:1780620500
Name:MCCLELLAN, CHER N/A (LMHC)
Entity type:Individual
Prefix:MS
First Name:CHER
Middle Name:N/A
Last Name:MCCLELLAN
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:MS
Other - First Name:CHER
Other - Middle Name:
Other - Last Name:SAUER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LMHC
Mailing Address - Street 1:151 MARY ESTHER BLVD
Mailing Address - Street 2:SUITE 201
Mailing Address - City:MARY ESTHER
Mailing Address - State:FL
Mailing Address - Zip Code:32569-1972
Mailing Address - Country:US
Mailing Address - Phone:850-862-6030
Mailing Address - Fax:850-862-6030
Practice Address - Street 1:151 MARY ESTHER BLVD
Practice Address - Street 2:SUITE 201
Practice Address - City:MARY ESTHER
Practice Address - State:FL
Practice Address - Zip Code:32569-1972
Practice Address - Country:US
Practice Address - Phone:850-862-6030
Practice Address - Fax:850-862-6030
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-21
Last Update Date:2008-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH-4071101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health