Tylor Mcgowan

NPI #1467171876 in Fruita, Colorado

Provider Information

NPI Number: 1467171876
Entity Type: Individual
Name: Tylor Mcgowan
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor - Professional
Enumeration Date: Aug 26, 2022
Last Updated: Aug 26, 2022

Practice Location

Address: 515 BIRCHWOOD ST
City: Fruita
State: Colorado
ZIP Code: 81521-6203
Phone: (970) 623-6766

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Professional — Professional	101YP2500X	Primary

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