Provider Demographics
NPI:1992743603
Name:GOWARD, CAROLE F (LMHC)
Entity type:Individual
Prefix:
First Name:CAROLE
Middle Name:F
Last Name:GOWARD
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13 DEEPWATER LN
Mailing Address - Street 2:
Mailing Address - City:SOUTH CHATHAM
Mailing Address - State:MA
Mailing Address - Zip Code:02659-1655
Mailing Address - Country:US
Mailing Address - Phone:508-430-0199
Mailing Address - Fax:508-430-8626
Practice Address - Street 1:13 DEEPWATER LN
Practice Address - Street 2:
Practice Address - City:SOUTH CHATHAM
Practice Address - State:MA
Practice Address - Zip Code:02659-1655
Practice Address - Country:US
Practice Address - Phone:508-430-0199
Practice Address - Fax:508-430-0862
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-03
Last Update Date:2009-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA5832101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health