Christine Mcgowan Lpc LLC
Clinic/Center, Mental Health (Including Community Mental Health Center) in Toms River, NJ. Organization (NPI-2).
NPI number1366966574
StatusActive
Last updated in NPPESJul 29, 2017
Details
- NPI
- 1366966574
- Entity type
- Organization (NPI-2)
- Legal business name
- Christine Mcgowan Lpc LLC
- Organization subpart
- No
- Enumeration date
- Jul 29, 2017
- Last updated
- Jul 29, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM0801X | Clinic/Center, Mental Health (Including Community Mental Health Center) | 37PC00538500 | NJ | Yes |
Practice location
250 Washington St Ste A2Toms River, NJ 08753-7575
Phone 848-251-2462 · Fax 242-251-2461
Mailing address
111 Riverside PlPoint Pleasant Beach, NJ 08742-2649
Authorized official
Christine Marie Mcgowan
Owner/Manager
7328593163
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