Individual
JACQUELINE MCCOUGHLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED., LPC
Contact information
Practice address
206 S 7TH ST, WORLAND, WY 82401-3308
(307) 347-6165
(307) 347-6166
Mailing address
206 S 7TH ST, WORLAND, WY 82401-3308
(307) 347-6165
(307) 347-6166
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LPC-225
WY
101YP2500X
Professional Counselor
LPC-225
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
106352900
—
WY
05
—
106352903
—
WY
01
—
2329331
CIGNA BEHAVIORAL HEALTH
WY
01
—
313612
BLUECROSS BLUESHIELD
WY
Enumeration date
03/19/2007
Last updated
04/19/2011
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