Doctor Name: | CHRISTINE MCGOWAN |
NPI Number: | 1003159724 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPC |
License Number: | 37PC00538500 |
Business Practice Address: | 160 Route 9 Bayville, NJ - 087211229 |
Business Phone Number: | 7323495550 |
Business Fax Number: | 7323496702 |
Mailing Address: | 160 Route 9, BAYVILLE |
State: | NJ |
Postal Code: | 087211229 |
Phone Number: | 7323495550 |
Fax Number: | 7323496702 |
NPI Enumeration Date: | 04/01/2013 |
NPI Last Update Date: | 12/10/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 37PC00538500 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |