Doctor Name: | MRS. SONYA MICHELLE MCAULIFFE |
NPI Number: | 1336259399 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | L.P.C., L.A.D.C. |
License Number: | 855 |
Business Practice Address: | 111 N Hudson St Altus, OK - 735213811 |
Business Phone Number: | 5803186446 |
Business Fax Number: | 5805811819 |
Mailing Address: | 111 N Hudson St, ALTUS |
State: | OK |
Postal Code: | 735213811 |
Phone Number: | 5803186446 |
Fax Number: | 5805811819 |
NPI Enumeration Date: | 08/30/2006 |
NPI Last Update Date: | 06/09/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | 855 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | OK |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |