Provider Demographics
NPI:1548753601
Name:MAUGHAN, WILLIAM (MS, LPC)
Entity Type:Individual
Prefix:
First Name:WILLIAM
Middle Name:
Last Name:MAUGHAN
Suffix:
Gender:M
Credentials:MS, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 791
Mailing Address - Street 2:
Mailing Address - City:HANNA
Mailing Address - State:WY
Mailing Address - Zip Code:82327-0791
Mailing Address - Country:US
Mailing Address - Phone:435-232-4493
Mailing Address - Fax:
Practice Address - Street 1:214 4TH ST # 10
Practice Address - Street 2:
Practice Address - City:RAWLINS
Practice Address - State:WY
Practice Address - Zip Code:82301-5664
Practice Address - Country:US
Practice Address - Phone:435-232-4493
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-06-12
Last Update Date:2022-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WYLPC-1898101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional