Provider Demographics
NPI:1306144845
Name:GOWAN, DANIEL (LCDC, LPC-S)
Entity type:Individual
Prefix:
First Name:DANIEL
Middle Name:
Last Name:GOWAN
Suffix:
Gender:M
Credentials:LCDC, LPC-S
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4975 PRESTON PARK BLVD
Mailing Address - Street 2:SUITE 790
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75093-5164
Mailing Address - Country:US
Mailing Address - Phone:972-267-2800
Mailing Address - Fax:972-985-2120
Practice Address - Street 1:4975 PRESTON PARK BLVD
Practice Address - Street 2:SUITE 790
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75093-5164
Practice Address - Country:US
Practice Address - Phone:972-267-2800
Practice Address - Fax:972-985-2120
Is Sole Proprietor?:Yes
Enumeration Date:2011-03-08
Last Update Date:2011-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX20319106H00000X, 101Y00000X
TX9873101YA0400X
TX123111101YP1600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YP1600XBehavioral Health & Social Service ProvidersCounselorPastoral