Individual
MELISSA DAWN MCCAULEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
107 N 6TH ST, EDINA, MO 63537-1467
(660) 342-4904
Mailing address
107 N 6TH ST, EDINA, MO 63537-1467
(660) 342-4904
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2009010209
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1639303928
—
MO
Enumeration date
05/14/2009
Last updated
09/28/2016
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