Doctor Name: | MS. JESSICA D BOWERS |
NPI Number: | 1063695443 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LICSW |
License Number: | 107427 (LICSW) |
Business Practice Address: | 201 E Magnolia Ave Eustis, FL - 327263583 |
Business Phone Number: | 3523571550 |
Business Fax Number: | 3523577723 |
Mailing Address: | Po Box 491000, LEESBURG |
State: | FL |
Postal Code: | 347491000 |
Phone Number: | 3523571550 |
Fax Number: | 3523577723 |
NPI Enumeration Date: | 12/09/2007 |
NPI Last Update Date: | 10/17/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 107427 (LICSW) |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |