Doctor Name: | MS. CAROLYN JEANNETTE GOVER |
NPI Number: | 1104952894 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.A., N.C.C., L.P.C. |
License Number: | PC0000156 |
Business Practice Address: | 125 Landing Dr Rehoboth Beach, DE - 199719766 |
Business Phone Number: | 3022263661 |
Business Fax Number: | 3022269070 |
Mailing Address: | 125 Landing Dr, REHOBOTH BEACH |
State: | DE |
Postal Code: | 199719766 |
Phone Number: | 3022263661 |
Fax Number: | 3022269070 |
NPI Enumeration Date: | 02/26/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | PC0000156 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | DE |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |