Individual provider · Type 1 NPI

Kimberly McGowan

Mental Health Counselor · Ponte Vedra, FL

NPI number 1053711630 Active

Practice location

460 Town Plaza Ave Ste 260
Ponte Vedra, FL 32081-5139

Call (904) 599-1243 Map

Mailing address

266 Bermuda Greens Ave
Ponte Vedra, FL 32081-4390

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1053711630

Kimberly McGowan's National Provider Identifier is 1053711630, issued on Sep 2, 2014. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Ponte Vedra, FL. The record was last updated on Dec 6, 2017.