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1619426889 NPI number — ADRIANNA R BOWYER ANDERSON ATR, LPCC, LCPC

NPI Number: 1619426889
Health Care Provider/Practitioner: ADRIANNA R BOWYER ANDERSON ATR, LPCC, LCPC

Information about “1619426889” NPI (ADRIANNA R BOWYER ANDERSON ATR, LPCC, LCPC) exists in 1619426889 in HTML format HTML  |  1619426889 in plain Text format TXT  |  1619426889 in PDF (Portable Document Format) PDF  |  1619426889 in an XML format XML  formats.

NPI Number : 1619426889 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1619426889",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "BOWYER ANDERSON",
    "FirstName": "ADRIANNA R",
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "ATR, LPCC, LCPC",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "3144 W BELLTOWER DR",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "MERIDIAN",
    "MailingAddressStateName": "ID",
    "MailingAddressPostalCode": "83646-4882",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "986-895-3122",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "4303 ACEQUIA LN",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "SANTA FE",
    "PracticeLocationAddressStateName": "NM",
    "PracticeLocationAddressPostalCode": "87507-7155",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "801-787-4608",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "09/28/2016",
    "LastUpdateDate": "08/15/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "101YM0800X",
        "TaxonomyName": "Mental Health Counselor",
        "LicenseNumber": "CMH0202561",
        "LicenseNumberStateCode": "NM",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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