Individual
PATRICIA A MCGOWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
431 S MAIN ST, SUITE #4, RICE LAKE, WI 54868-2241
(715) 234-5679
Mailing address
431 S MAIN ST, SUITE #4, RICE LAKE, WI 54868-2241
(715) 234-5679
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
5007-125
WI
101YM0800X
Mental Health Counselor
5007-125
WI
101YP2500X
Professional Counselor
5007-125
WI
Other
Enumeration date
09/19/2012
Last updated
03/15/2013
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