Individual
G MCGOWAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D, LMHC
Contact information
Practice address
5020 CLARK RD, SARASOTA, FL 34233-3231
(307) 674-1668
Mailing address
5020 CLARK RD, SARASOTA, FL 34233-3231
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
MH 13965
FL
101YP2500X
Professional Counselor
Primary
1152
WY
101YP2500X
Professional Counselor
4258
CO
Other
Enumeration date
02/06/2009
Last updated
01/23/2017
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