Individual
LEE WILLIAM MCCOWAN SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2495 W MARCH LN STE 125, STOCKTON, CA 95207-8224
(209) 320-7610
Mailing address
2495 W MARCH LN STE 125, STOCKTON, CA 95207-8224
(209) 320-7610
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
172V00000X
Community Health Worker
—
—
373H00000X
Day Training/Habilitation Specialist
Primary
—
CA
Other
Enumeration date
02/16/2023
Last updated
04/22/2025
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