Individual
NICOLE MCCAULEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
3212 E NETTLETON, SUITE C, JONESBORO, AR 72401-5451
(785) 825-0541
(785) 825-0062
Mailing address
110 W OTIS AVE, SALINA, KS 67401-8713
(979) 492-2795
(979) 232-2135
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2643-C
AR
101YM0800X
Mental Health Counselor
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
116378726
—
AR
Enumeration date
09/12/2008
Last updated
08/18/2023
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