Organization
MCAULEY COUNSELING SERVICES, INC.
Active
Organization
MCAULEY COUNSELING SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VICTORIA M INCRIVAGLIA MSW (ASSISTANT DIRECTOR)
(417) 823-0498
Entity
Organization
Contact information
Practice address
2200 E SUNSHINE ST, SUITE 334, SPRINGFIELD, MO 65804-1819
(417) 823-0498
(417) 889-5289
Mailing address
2200 E SUNSHINE ST, SUITE 201, SPRINGFIELD, MO 65804-1819
(417) 823-0498
(417) 889-5289
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
1041C0700X
Clinical Social Worker
—
—
Other
Enumeration date
04/26/2006
Last updated
01/05/2008
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