MEDICARE: KAREN MACCAUSLAND, P.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	001086	MO

General Provider Information

NPI Number	:	1245354067
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	KAREN MACCAUSLAND, P.C.

Provider Business Mailing Address
First Line	:	4045 N SAINT PETERS PKWY STE 108
Second Line	:
City	:	SAINT PETERS
State	:	MO
Zip	:	63304-7398
Country	:	US
Telephone Number	:	636-928-5800
Fax Number	:

Provider Business Practice Location Address
First Line	:	4045 N SAINT PETERS PKWY STE 108
Second Line	:
City	:	SAINT PETERS
State	:	MO
Zip	:	63304-7398
Country	:	US
Telephone Number	:	636-928-5800
Fax Number	:	636-441-3902

Authorized Official
Title or Position	:	OWNER
Name	:	KAREN MACCAUSLAND
Credential	:	LCSW
Telephone Number	:	636-928-5800

Provider Enumeration Date	:	03/19/2007
Last Update Date	:	12/05/2022

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