Provider Demographics
NPI:1639723349
Name:MCCAULEY, BILLIE-RAE (LPC, LAC)
Entity Type:Individual
Prefix:
First Name:BILLIE-RAE
Middle Name:
Last Name:MCCAULEY
Suffix:
Gender:F
Credentials:LPC, LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:605 CHIPETA AVE APT A
Mailing Address - Street 2:
Mailing Address - City:GRAND JUNCTION
Mailing Address - State:CO
Mailing Address - Zip Code:81501-2797
Mailing Address - Country:US
Mailing Address - Phone:970-618-2911
Mailing Address - Fax:
Practice Address - Street 1:605 CHIPETA AVE APT A
Practice Address - Street 2:
Practice Address - City:GRAND JUNCTION
Practice Address - State:CO
Practice Address - Zip Code:81501-2797
Practice Address - Country:US
Practice Address - Phone:970-618-2911
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-07-31
Last Update Date:2023-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YA0400X
COLPC.0017693101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)