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
Phone: (254) 553-2261
Fax:
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1437259439 | NPPES |
Texas | MEDICAID | 181955901 |
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