Doctor Name: | VIRGINIA WALKER BOWES |
NPI Number: | 1053602904 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCPC-C |
License Number: | XL3564 |
Business Practice Address: | 836 Main St Ste 2 Westbrook, ME - 040922861 |
Business Phone Number: | 2076159692 |
Business Fax Number: | |
Mailing Address: | 836 Main St Ste 2, WESTBROOK |
State: | ME |
Postal Code: | 040922861 |
Phone Number: | 2076159692 |
Fax Number: | |
NPI Enumeration Date: | 04/27/2011 |
NPI Last Update Date: | 04/27/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | XL3564 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | ME |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |