Individual
ANGUS MACAULAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
COUNSELOR-TRAINEE
Contact information
Practice address
150 CHARLES CT, NEWTON FALLS, OH 44444-1715
(330) 953-0243
Mailing address
538 HEATHERWOOD DR SE, WARREN, OH 44484-2403
(330) 953-0243
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
C.1801356-TRNE
OH
Other
Enumeration date
07/17/2019
Last updated
08/05/2019
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