Individual
MOLLY DIANE MCGOWAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED., LPC
Contact information
Practice address
151 INDUSTRIAL DR, BIRMINGHAM, AL 35211-4445
(205) 941-1799
(205) 942-2037
Mailing address
1801 2ND AVE N APT 206, BIRMINGHAM, AL 35203-3131
(706) 594-6875
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
4471
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4471
ALABAMA BOARD OF EXAMINERS IN COUNSELING
AL
Enumeration date
02/22/2022
Last updated
02/22/2022
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