Individual
MR. GLENN RICHARD MCGOWAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA
Contact information
Practice address
717 UNION RD, ST LOUIS, MO 63123-6720
(314) 638-9011
Mailing address
717 UNION RD, ST LOUIS, MO 63123-6720
(314) 638-9011
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
10284
IL
101YM0800X
Mental Health Counselor
Primary
NCGC371-19
MO
1041C0700X
Clinical Social Worker
SW002614
MO
Other
Enumeration date
02/12/2007
Last updated
09/11/2025
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