Individual
ANN MAUREEN MCCAUGHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.COUN, LPC
Contact information
Practice address
1740 E 17TH ST STE A, IDAHO FALLS, ID 83404-6375
(208) 346-7500
Mailing address
1740 E 17TH ST STE A, IDAHO FALLS, ID 83404-6375
(208) 346-7500
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
3963
ID
Other
Enumeration date
04/17/2009
Last updated
04/17/2009
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