Provider Demographics
NPI:1114597838
Name:MCGOWAN, THOMAS JR (LPC)
Entity Type:Individual
Prefix:MR
First Name:THOMAS
Middle Name:
Last Name:MCGOWAN
Suffix:JR
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1300 REAMER DR STE 306-C
Mailing Address - Street 2:
Mailing Address - City:BARRINGTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08007-1703
Mailing Address - Country:US
Mailing Address - Phone:609-203-0886
Mailing Address - Fax:
Practice Address - Street 1:751 ROUTE 73 N STE 11
Practice Address - Street 2:
Practice Address - City:MARLTON
Practice Address - State:NJ
Practice Address - Zip Code:08053-3456
Practice Address - Country:US
Practice Address - Phone:267-225-1972
Practice Address - Fax:856-389-3134
Is Sole Proprietor?:No
Enumeration Date:2021-06-25
Last Update Date:2021-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37PC00170800101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional