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NPI Code Detail

MEDICARE: MR. DONAL J. MACAULEY LPC

MEDICARE: MR. DONAL J. MACAULEY LPC
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
1101YP2500XProfessional Counselor0021059CO
2101YP2500XProfessional Counselor70020TX
3101YP2500XProfessional Counselor0710102179VA

General Provider Information

NPI Number : 1720264302
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. DONAL J. MACAULEY LPC
Provider Business Mailing Address
First Line : 3129 HEARTHRIDGE CIR
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80918-5800
Country : US
Telephone Number : 757-462-0762
Fax Number :
Provider Business Practice Location Address
First Line : 5350 TOMAH DR STE 3600
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80918-6991
Country : US
Telephone Number : 719-212-1448
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/14/2008
Last Update Date : 03/18/2025

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