Provider Demographics
NPI:1114385853
Name:COLLINS-MACAULEY, APRIL
Entity Type:Individual
Prefix:
First Name:APRIL
Middle Name:
Last Name:COLLINS-MACAULEY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:234 W 5TH ST
Mailing Address - Street 2:
Mailing Address - City:MEDFORD
Mailing Address - State:OR
Mailing Address - Zip Code:97501-2611
Mailing Address - Country:US
Mailing Address - Phone:541-858-4642
Mailing Address - Fax:
Practice Address - Street 1:234 W 5TH ST
Practice Address - Street 2:
Practice Address - City:MEDFORD
Practice Address - State:OR
Practice Address - Zip Code:97501-2611
Practice Address - Country:US
Practice Address - Phone:541-858-4642
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-02-09
Last Update Date:2016-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)