Provider Information for 1306393533
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Mr. JEFFREY DONALD GOWING LPC
Sex: Male
NPI: 1306393533
Last Updated: 2024-01-16
Certification Date: 2024-01-16
Certification Date: 2024-01-16
Details
| Name | Value | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NPI | 1306393533 | ||||||||||||
| Enumeration Date | 2016-09-06 | ||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||
| Sole Proprietor | YES | ||||||||||||
| Status | Active | ||||||||||||
| Mailing Address | PO BOX 5027 MUSKEGON, MI 49445-0027 United States Phone: 708-955-5466 | Fax: | ||||||||||||
| Primary Practice Address | 1576 PECK ST MUSKEGON, MI 49441-2547 United States Phone: 231-220-9288 | Fax:231-241-1131 | ||||||||||||
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