Individual
DR. KENNETH R. MCGOWAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
523 DIXIE ST STE 4, CARROLLTON, GA 30117-3870
(770) 834-8327
(770) 834-7271
Mailing address
523 DIXIE ST STE 4, CARROLLTON, GA 30117-3870
(770) 834-8327
(770) 834-7271
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
000494
GA
Other
Enumeration date
10/27/2015
Last updated
10/27/2015
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