Doctor Name: | MR. WILLIAM MICHAEL MCGOUGH |
NPI Number: | 1528047131 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LCSW, CASAC |
License Number: | 8239 |
Business Practice Address: | 3 Episcopal Ave Honeoye Falls, NY - 144721001 |
Business Phone Number: | 5856241350 |
Business Fax Number: | 5856249181 |
Mailing Address: | 3 Episcopal Ave, HONEOYE FALLS |
State: | NY |
Postal Code: | 144721001 |
Phone Number: | 5856241350 |
Fax Number: | 5856249181 |
NPI Enumeration Date: | 01/12/2006 |
NPI Last Update Date: | 10/05/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | 8239 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NY |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |