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Ellison McQueen, Counselor

Counselor, Addiction (Substance Use Disorder) in Long Beach, CA. Individual provider (NPI-1).

NPI number1003115437
StatusActive
Last updated in NPPESMar 24, 2011

Details

NPI
1003115437
Entity type
Individual (NPI-1)
Name
Mr. Ellison McQueen
Credential
Counselor
Sex
Male
Sole proprietor
No
Enumeration date
Mar 24, 2011
Last updated
Mar 24, 2011

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YA0400X Counselor, Addiction (Substance Use Disorder)––Yes

Practice location

2703 E 7th St
Long Beach, CA 90804-4708

Phone 562-433-0454

Mailing address

2703 E 7th St
Long Beach, CA 90804-4708

Phone 562-433-0454

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