Individual
MR. ANDREW AUGUSTUS MCGOVERN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
33 KENNEDY RD, STE 33A, ANDOVER, NJ 07821
(973) 722-2831
Mailing address
PO BOX 129, TRANQUILITY, NJ 07879-0129
(973) 722-2831
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
37PC00494600
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
37PC 00494600
INDIVIDUAL
NJ
Enumeration date
08/13/2012
Last updated
12/06/2022
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