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Individual

TINA F MCGOWAN, LAC

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
343 OLD GEORGES RD, NORTH BRUNSWICK, NJ 08902-4801
(732) 978-9882
Mailing address
343 OLD GEORGES RD, NORTH BRUNSWICK, NJ 08902-4801
(844) 997-1874

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
37AC00824100
NJ
101YP2500X
Professional Counselor
Primary
37AC00824100
NJ

Other

Enumeration date
10/01/2024
Last updated
02/10/2026
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