NPI 1396729174 · live from the CMS NPI Registry
Michael J. Magowan, LMFT
Marriage & Family Therapist in Fairbanks, AK. National Provider Identifier 1396729174, active.
NPI record
| NPI | 1396729174 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Marriage & Family Therapist 106H00000X |
| Practice location | 600 University Ave, Suite 108, Fairbanks, AK 99709 |
| Practice phone | 907-452-6522 |
| Mailing address | Po Box 81611, Fairbanks, AK 99708 |
| Enumerated | December 5, 2005 |
| Last updated | July 13, 2026 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Marriage & Family Therapist primary | 106H00000X | 147 (AK) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.