Provider Demographics
NPI:1073878047
Name:MCGEOWN, NANCY LEE (LPC)
Entity Type:Individual
Prefix:MS
First Name:NANCY
Middle Name:LEE
Last Name:MCGEOWN
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 6303
Mailing Address - Street 2:
Mailing Address - City:LONGMONT
Mailing Address - State:CO
Mailing Address - Zip Code:80501-2078
Mailing Address - Country:US
Mailing Address - Phone:720-438-1577
Mailing Address - Fax:
Practice Address - Street 1:1446 HOVER ST STE 208
Practice Address - Street 2:
Practice Address - City:LONGMONT
Practice Address - State:CO
Practice Address - Zip Code:80501-2435
Practice Address - Country:US
Practice Address - Phone:720-438-1577
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-07-05
Last Update Date:2021-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO3057101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional