Organization
NAN MCGOWEN, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NAN MCGOWEN MS, LADC-MH (PRESIDENT)
(405) 606-1314
Entity
Organization
Contact information
Practice address
4500 N CLASSEN BLVD STE 201, OKLAHOMA CITY, OK 73118-4823
(405) 606-1314
Mailing address
4500 N CLASSEN BLVD STE 201, OKLAHOMA CITY, OK 73118-4823
(405) 606-1314
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
1210
OK
Other
Enumeration date
04/14/2016
Last updated
04/14/2016
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