Individual
MS. JACQUELINE L GOWER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED., LPC
Contact information
Practice address
65 E ELIZABETH AVE, SUITE 412, BETHLEHEM, PA 18018-6518
(610) 866-6855
(610) 866-6715
Mailing address
65 E ELIZABETH AVE, SUITE 412, BETHLEHEM, PA 18018-6518
(610) 866-6855
(610) 866-6715
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
PC003559
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PC003559
LICENSED PROF. COUNSELOR
PA
Enumeration date
08/26/2005
Last updated
06/19/2013
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