Provider Demographics
NPI:1528581808
Name:MCGOWEN-BIENKOWSKI, JULIA E (LPC)
Entity Type:Individual
Prefix:
First Name:JULIA
Middle Name:E
Last Name:MCGOWEN-BIENKOWSKI
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 1:35047 WILLIS ST
Mailing Address - Street 2:
Mailing Address - City:CLINTON TOWNSHIP
Mailing Address - State:MI
Mailing Address - Zip Code:48035-2886
Mailing Address - Country:US
Mailing Address - Phone:248-343-4618
Mailing Address - Fax:
Practice Address - Street 1:35047 WILLIS ST
Practice Address - Street 2:
Practice Address - City:CLINTON TOWNSHIP
Practice Address - State:MI
Practice Address - Zip Code:48035-2886
Practice Address - Country:US
Practice Address - Phone:586-335-2006
Practice Address - Fax:586-279-3886
Is Sole Proprietor?:Yes
Enumeration Date:2017-07-19
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6401016197101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional