Samantha Alyssa McGovern
Counselor, Professional in Wheaton, IL. Individual provider (NPI-1).
NPI number1871007476
StatusActive
Last updated in NPPESSep 15, 2023
Details
- NPI
- 1871007476
- Entity type
- Individual (NPI-1)
- Name
- Samantha Alyssa McGovern
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 20, 2017
- Certification date
- Sep 15, 2023
- Last updated
- Sep 15, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | 180.015354 | IL | Yes |
Practice location
2 Wheaton Ctr Apt 1001Wheaton, IL 60187-4972
Phone 630-639-6594
Mailing address
2 Wheaton Ctr Apt 1001Wheaton, IL 60187-4972
Phone 630-639-6594
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