| Mark Joseph Mcgowan Sr, | |
|
83912 Avenue 45 Ste 9, Indio, CA 92201-3338 | |
| (760) 347-0754 | |
| Not Available |
| Full Name | Mark Joseph Mcgowan Sr |
|---|---|
| Gender | Male |
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 83912 Avenue 45 Ste 9, Indio, California |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184343063 | NPI | - | NPPES |
| CI34461221 | Other | CA | LICENCE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | CI34461221 (California) | Primary |
| 171M00000X | Case Manager/care Coordinator | (* (Not Available)) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Mark Joseph Mcgowan Sr, Po Box 3051, Indio, CA 92202-3051 Ph: (760) 699-3968 | Mark Joseph Mcgowan Sr, 83912 Avenue 45 Ste 9, Indio, CA 92201-3338 Ph: (760) 347-0754 |
Marivel Sanchez, Counselor Medicare: Not Enrolled in Medicare Practice Location: 47915 Oasis St, Indio, CA 92201 Phone: 760-863-8600 Fax: 760-863-8655 | |
Mr. Kevin G Brown Sr., Counselor Medicare: Not Enrolled in Medicare Practice Location: 81840 Avenue 46, 201, Indio, CA 92201 Phone: 760-391-6999 Fax: 760-391-6998 | |
Mirta Lerma, Counselor Medicare: Not Enrolled in Medicare Practice Location: 47915 Oasis St, Indio, CA 92201 Phone: 760-863-8638 | |
Dominick Cardillo, Counselor Medicare: Not Enrolled in Medicare Practice Location: 83844 Hopi Ave, Indio, CA 92203 Phone: 760-347-9442 | |
Michael Joel Lopez, CADC I Counselor Medicare: Not Enrolled in Medicare Practice Location: 44359 Palm St, Indio, CA 92201 Phone: 760-342-6616 | |
Justin Vaughn Flores, Counselor Medicare: Not Enrolled in Medicare Practice Location: 44374 Palm St, Indio, CA 92201 Phone: 760-342-6616 | |
Ursula Eliana Rocha, Counselor Medicare: Not Enrolled in Medicare Practice Location: 47825 Oasis St, Indio, CA 92201 Phone: 760-863-8455 Fax: 760-863-8587 |