Individual provider · Type 1 NPI

Mark Joseph McGowan Sr.

Addiction (Substance Use Disorder) Counselor · Indio, CA

NPI number 1184343063 Active

Practice location

83912 Avenue 45 Ste 9
Indio, CA 92201-3338

Call (760) 347-0754 Map

Mailing address

PO Box 3051
Indio, CA 92202-3051

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XCI34461221 (CA)
Case Manager/Care Coordinator 171M00000XNone listed

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1184343063

Mark Joseph McGowan Sr.'s National Provider Identifier is 1184343063, issued on Aug 24, 2022. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Indio, CA. The record was last updated on May 14, 2024.