Gowen, Alisha

Gowen, Alisha is an sole proprietor health care provider with primary practice located at 89 W Main St , Vernal UT 84078-2535. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Gowen, Alisha can be contacted via phone (435) 790-1524.

Contact Information

Primary practice address
89 W Main St Vernal UT 84078-2535
Phone: (435) 790-1524
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X 5869439-3503 Utah
Behavioral Health & Social Service Providers / Clinical 1041C0700X 5869439-3501 Utah

Profile Details

NPI number 1184285819
LBN Legal business name Gowen, Alisha
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 24th, 2019
Last updated Sep 18th, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1184285819 NPPES
Utah Other 5869439-3503 DOPL
Utah Other 5869439-3501 DOPL

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