| Doctor Name: | MR. WILLIAM HOWARD MCMICAN |
| NPI Number: | 1083038095 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | CSW / LMFT |
| License Number: | 105452 |
| Business Practice Address: | 104 S Front Ave Prestonsburg, KY - 416531614 |
| Business Phone Number: | 6068868572 |
| Business Fax Number: | 6068864433 |
| Mailing Address: | 104 S Front Ave, PRESTONSBURG |
| State: | KY |
| Postal Code: | 416531614 |
| Phone Number: | 6068868572 |
| Fax Number: | 6068864433 |
| NPI Enumeration Date: | 02/11/2014 |
| NPI Last Update Date: | 05/31/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | 105452 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | KY |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |