Individual provider · Type 1 NPI

Courtney Gongwer, LMHC

Counselor · Pace, FL

NPI number 1730765967 Active

Practice location

5568 Woodbine Rd Ste 70
Pace, FL 32571-8766

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XMH11915 (FL)

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1730765967

Courtney Gongwer, LMHC's National Provider Identifier is 1730765967, issued on Mar 18, 2021. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Pace, FL. The record was last updated on Mar 18, 2021.