Organization Name: | KAREN MACCAUSLAND, P.C. |
NPI Number: | 1245354067 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | KAREN MACCAUSLAND (PRESIDENT) |
Mailing Address: | 1272 Jungermann Road Suite C St. Peters |
State: | MO US |
Postal Code: | 63376 |
Phone Number: | 6369285800 |
Fax Number: | |
NPI Enumeration Date: | 03/19/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 001086 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MO |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |