Individual
ISABEL MARIE MCGOWAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
5312 JAGUAR DR, SANTA FE, NM 87507-1827
(505) 471-4985
Mailing address
967 VERDINAL LN, SANTA FE, NM 87505-1214
(505) 469-8602
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CSA0202531
NM
101YM0800X
Mental Health Counselor
Primary
CTB-2022-0673
NM
Other
Enumeration date
04/12/2019
Last updated
11/29/2022
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