Individual
MARYBETH MCGOWAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
826 S HASTINGS WAY, EAU CLAIRE, WI 54701-3426
(715) 834-3171
(715) 834-3174
Mailing address
826 S HASTINGS WAY, EAU CLAIRE, WI 54701-3426
(715) 834-3171
(715) 834-3174
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
3103-125
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39796600
—
WI
Enumeration date
09/28/2006
Last updated
11/06/2024
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