Doctor Name: | JANICE I MCGOWAN |
NPI Number: | 1255368403 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPC |
License Number: | 2001022264 |
Business Practice Address: | 407 Maple St Neosho, MO - 648502318 |
Business Phone Number: | 4174551960 |
Business Fax Number: | 4174551960 |
Mailing Address: | Po Box 545, NEOSHO |
State: | MO |
Postal Code: | 648500545 |
Phone Number: | 4174551960 |
Fax Number: | 4174551960 |
NPI Enumeration Date: | 06/26/2006 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 2001022264 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MO |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |