Dustin Mcgowan, LPCC | |
4730 Beckner Road, Santa Fe, NM 87507 | |
(505) 989-4500 | |
(505) 443-8313 |
Full Name | Dustin Mcgowan |
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Gender | Male |
Speciality | Counselor - Mental Health |
Location | 4730 Beckner Road, Santa Fe, New Mexico |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1073049557 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101Y00000X | Counselor | CMH0188251 (New Mexico) | Secondary |
101YM0800X | Counselor - Mental Health | 0188251 (New Mexico) | Primary |
Entity Name | Presbyterian Medical Services |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1871505032 PECOS PAC ID: 2062324684 Enrollment ID: O20031103000414 |
Mailing Address | Practice Location Address |
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Dustin Mcgowan, LPCC 1200 N Paseo De Onate, Espanola, NM 87532-2687 Ph: () - | Dustin Mcgowan, LPCC 4730 Beckner Road, Santa Fe, NM 87507 Ph: (505) 989-4500 |
Kim M Servent, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1601a Saint Michaels Dr, Santa Fe, NM 87505 Phone: 505-954-8786 Fax: 505-954-8794 | |
Leonard Tischler, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1904 San Ildefonso Rd, Santa Fe, NM 87505 Phone: 505-471-4985 | |
Ralph E Flores, BMS Counselor Medicare: Not Enrolled in Medicare Practice Location: 2504 Camino Entrada, Santa Fe, NM 87507 Phone: 505-471-5006 | |
Susan C Rivera, BMS Counselor Medicare: Not Enrolled in Medicare Practice Location: 2504 Camino Entrada, Santa Fe, NM 87507 Phone: 505-471-5006 | |
Paula Strongheart, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2960 Rodeo Park Dr W, Santa Fe, NM 87505 Phone: 505-986-9633 | |
Suzanne Salladin, CSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 2504 Camino Entrada, Santa Fe, NM 87507 Phone: 505-471-5006 | |
Lisa Barnes, MA PSY, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 13 Old Agua Fria Rd E, Santa Fe, NM 87508 Phone: 505-988-1169 |