Doctor Name: | MRS. JESSICA ZEGOWITZ BOWLING |
NPI Number: | 1083860860 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCPC, NCC |
License Number: | LC3556 |
Business Practice Address: | 23127 Three Notch Rd Suite 101 California, MD - 206192402 |
Business Phone Number: | 3017522615 |
Business Fax Number: | |
Mailing Address: | 23127 Three Notch Rd, Suite 101 CALIFORNIA |
State: | MD |
Postal Code: | 206192402 |
Phone Number: | 3017522615 |
Fax Number: | |
NPI Enumeration Date: | 08/13/2008 |
NPI Last Update Date: | 02/20/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | LC3556 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MD |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |