Doctor Name: | STEPHANIE BOWDEN |
NPI Number: | 1134372675 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPC |
License Number: | 2999 |
Business Practice Address: | 2626 Charles Drive Chalmette, LA - 700434442 |
Business Phone Number: | 5042784006 |
Business Fax Number: | 5042784007 |
Mailing Address: | 2626 Charles Drive, CHALMETTE |
State: | LA |
Postal Code: | 700434442 |
Phone Number: | 5042784006 |
Fax Number: | 5042784007 |
NPI Enumeration Date: | 10/28/2008 |
NPI Last Update Date: | 11/06/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 2999 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | LA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |