TERI MCDOUGLE CSAC ICS NPI 1306902747

NPI Information

NPI: 1306902747
Provider Name: TERI MCDOUGLE, CSAC, ICS
Classification: Counselor - 101YA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

Address:
4647 MORMON COULEE RD
LA CROSSE, WI
ZIP 54601
Phone: (608) 519-3080
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Teri Mcdougle, CSAC, ICS is an addiction (substance use disorder) counselor in La Crosse, WI. Teri Mcdougle, CSAC, ICS NPI is 1306902747. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

4647 MORMON COULEE RD
LA CROSSE, WI
ZIP 54601-225
Phone: (608) 519-3080
Fax: (608) 519-3083

The enumeration date for this NPI number is 12/29/2006 and was last updated on 8/15/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)	1540-132	WYOMING	No
2	101YA0400X	Counselor	Addiction (Substance Use Disorder)	12192-134	WISCONSIN	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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