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Individual

MRS. STACY LYNN MCCAUGHN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMHC

Contact information

Practice address
3120 WINDSOR CT, ELKHART, IN 46514-5556
(855) 267-1700
Mailing address
33827 WOODMONT RIDGE DR, NEW CARLISLE, IN 46552-8223
(219) 718-2183

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
39003096A
IN

Other

Enumeration date
10/17/2017
Last updated
03/17/2018
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