Mcgonnell, Owen James

Mcgonnell, Owen James is an individual health care provider with primary practice located at 36003 Darnall Loop Room 143, Fort Hood TX 76544-5095. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Mcgonnell, Owen James can be contacted via phone (254) 553-2261.

Contact Information

Primary practice address
36003 Darnall Loop Room 143 Fort Hood TX 76544-5095
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 62368 Texas
Behavioral Health & Social Service Providers / Clinical 1041C0700X 42700 Texas

Profile Details

NPI number 1437259439
LBN Legal business name Mcgonnell, Owen James
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 22nd, 2006
Last updated May 17th, 2011 - about 13 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 1437259439 NPPES
Texas MEDICAID 181955901

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