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Individual

MR. MATTHEW MCCAULEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MA, LPC-I

Contact information

Practice address
614 ESPLANADE ST, LAKE CHARLES, LA 70607-6308
(337) 478-1411
Mailing address
614 ESPLANADE ST, LAKE CHARLES, LA 70607-6308
(337) 478-1411

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
5211
LA

Other

Enumeration date
11/06/2013
Last updated
11/06/2013
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