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Individual
MR. WILLIAM MICHAEL MCGOUGH
Active
Individual
MR. WILLIAM MICHAEL MCGOUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW, CASAC
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
8239
NY
101YM0800X
Mental Health Counselor
Primary
RO33420
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02308345
—
NY
01
—
100396FK
PREFERRED CARE
NY
01
—
5370814
AETNA
NY
01
—
PO10033420
BLUE CROSS/SHIELD
NY
Enumeration date
01/12/2006
Last updated
10/05/2010
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