Individual
JANICE I MCGOWAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
407 MAPLE ST, NEOSHO, MO 64850-2318
(417) 455-1960
(417) 455-1960
Mailing address
PO BOX 545, NEOSHO, MO 64850-0545
(417) 455-1960
(417) 455-1960
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2001022264
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
194513
BCBS PROVIDER #
MO
Enumeration date
06/26/2006
Last updated
07/09/2007
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