Individual
TANICE HENLEY MCGOWAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
835 PRIDE DR, HAMMOND, LA 70401-9527
(985) 543-4730
Mailing address
835 PRIDE DR, HAMMOND, LA 70401-9527
(985) 543-4730
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
5625
LA
Other
Enumeration date
09/02/2015
Last updated
12/09/2015
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