Mcgowan, Glenn Richard

Mcgowan, Glenn Richard is an individual health care provider with primary practice located at 717 Union Rd , St Louis MO 63123-6720. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is his primary health care specialty. Mcgowan, Glenn Richard can be contacted via phone (314) 638-9011.

Contact Information

Primary practice address
717 Union Rd St Louis MO 63123-6720
Phone: (314) 638-9011
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 10284 Illinois
Behavioral Health & Social Service Providers / Mental Health 101YM0800X NCGC371-19 Missouri
Behavioral Health & Social Service Providers / Clinical 1041C0700X SW002614 Missouri

Profile Details

NPI number 1649311481
LBN Legal business name Mcgowan, Glenn Richard
Credentials Master of Arts (MA)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 12th, 2007
Last updated Jul 8th, 2007 - about 17 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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