Provider Demographics
NPI:1295876688
Name:MCGOWAN, DANIELLE NICHOLE (LMFT)
Entity type:Individual
Prefix:MRS
First Name:DANIELLE
Middle Name:NICHOLE
Last Name:MCGOWAN
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:MRS
Other - First Name:DANIELLE
Other - Middle Name:NICHOLE
Other - Last Name:MEJIA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:5 W 19TH ST RM 3R
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10011-4238
Mailing Address - Country:US
Mailing Address - Phone:903-690-4649
Mailing Address - Fax:
Practice Address - Street 1:5 W 19TH ST RM 3R
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10011-4238
Practice Address - Country:US
Practice Address - Phone:903-690-4649
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-09
Last Update Date:2023-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX204494106H00000X
CA49922106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist