DEREK RICHARD MCGOWAN CADC-I NPI 1184470882

NPI Information

  • NPI: 1184470882
  • Provider Name: DEREK RICHARD MCGOWAN, CADC-I
  • Classification: Counselor - 101YA0400X
  • Specialization: Addiction (Substance Use Disorder)
  • Entity Type: Individual
  • Address: 79100 OCOTILLO DR
    LA QUINTA, CA
    ZIP 92253
  • Phone: (760) 834-8418

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NPI Details

Derek Richard Mcgowan, CADC-I is an addiction (substance use disorder) counselor in La Quinta, CA. Derek Richard Mcgowan, CADC-I NPI is 1184470882. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

79100 OCOTILLO DR
LA QUINTA, CA
ZIP 92253-915
Phone: (760) 834-8418

The enumeration date for this NPI number is 4/24/2024 and was last updated on 4/24/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YA0400XCounselorAddiction (Substance Use Disorder)CI31710121CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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