Mccoughlan, Jacqueline

Mccoughlan, Jacqueline is an individual health care provider with primary practice located at 206 S 7Th St , Worland WY 82401-3308. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Counselor. Behavioral Health & Social Service Providers / Counselor is her primary health care specialty. Mccoughlan, Jacqueline can be contacted via phone (307) 347-6165.

Contact Information

Primary practice address
206 S 7Th St Worland WY 82401-3308
Phone: (307) 347-6165
Fax: (307) 347-6166
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X LPC-225 Wyoming
Behavioral Health & Social Service Providers / Counselor 101Y00000X LPC-225 Wyoming

Profile Details

NPI number 1588788822
LBN Legal business name Mccoughlan, Jacqueline
Credentials M.ED., LPC
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 19th, 2007
Last updated Apr 19th, 2011 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1588788822 NPPES
Wyoming Other 2329331 CIGNA BEHAVIORAL HEALTH
Wyoming MEDICAID 106352903 CIGNA BEHAVIORAL HEALTH
Wyoming Other 313612 CIGNA BEHAVIORAL HEALTH
Wyoming MEDICAID 106352900 CIGNA BEHAVIORAL HEALTH

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