Healthcare Provider Details

I. General information

NPI: 1699601708
Provider Name (Legal Business Name): CARA BOWEN PHD, LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/18/2026
Last Update Date: 06/18/2026
Certification Date: 06/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

706 S COLLEGE AVE STE 204
FORT COLLINS CO
80524-9860
US

IV. Provider business mailing address

706 S COLLEGE AVE STE 204
FORT COLLINS CO
80524-9860
US

V. Phone/Fax

Practice location:
  • Phone: 832-942-3082
  • Fax:
Mailing address:
  • Phone: 832-942-3082
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number0023854
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: