Provider Demographics
NPI:1215088646
Name:MCGOVERN, MARGARET JOSEPHINE (LPC, ATR-BC)
Entity type:Individual
Prefix:MS
First Name:MARGARET
Middle Name:JOSEPHINE
Last Name:MCGOVERN
Suffix:
Gender:
Credentials:LPC, ATR-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2061 WHITNEY AVE
Mailing Address - Street 2:
Mailing Address - City:NORTH HAVEN
Mailing Address - State:CT
Mailing Address - Zip Code:06473-4474
Mailing Address - Country:US
Mailing Address - Phone:203-303-7771
Mailing Address - Fax:203-800-9485
Practice Address - Street 1:2061 WHITNEY AVE
Practice Address - Street 2:
Practice Address - City:NORTH HAVEN
Practice Address - State:CT
Practice Address - Zip Code:06473-4474
Practice Address - Country:US
Practice Address - Phone:203-303-7771
Practice Address - Fax:203-800-9485
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-13
Last Update Date:2025-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT001399101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional