Individual
JENNIFER C MACAULAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
B.S.
Contact information
Practice address
120 W 1ST ST, WATONGA, OK 73772-3643
(580) 623-2545
(580) 623-2668
Mailing address
120 W 1ST ST, PO BOX 569, WATONGA, OK 73772-3643
(580) 623-2545
(580) 623-2668
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
07/01/2009
Last updated
07/01/2009
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