DEREK RICHARD MCGOWAN

LA QUINTA, CA
NPI1184470882
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA  Ci31710121)
Enumeration Date2024-04-24
Last Update Date2024-04-24
Business Address
DEREK RICHARD MCGOWAN CADC-I
79100 OCOTILLO DR
LA QUINTA, CA 92253-5915
Phone number: 760-834-8418
Mailing Address
DEREK RICHARD MCGOWAN CADC-I
79100 OCOTILLO DR
LA QUINTA, CA 92253-5915
Phone number: 442-666-4860
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