Individual
MR. WILLIAM RICHARD MCGOWAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4100 LUCIA LN, SANTA FE, NM 87507-3000
(505) 471-4985
Mailing address
1795 AGUA FRIA ST, SANTA FE, NM 87505-0965
(505) 920-6549
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
0106601
NM
Other
Enumeration date
10/20/2009
Last updated
10/20/2009
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