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General NPI Number Information
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NPI Number | 1902422355
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Entity Type | Organization
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Legal Business Name | CHRISTINE BOWERS LMFT, LLC
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Dates
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Enumeration Date | 06/22/2020
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Last Update Date | 06/22/2020
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Provider Practice Location Address
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Address Line | 2300 COMMONWEALTH DR STE 200
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City | CHARLOTTESVILLE
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State | VA
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Zip | 22901-1894
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Country | US
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Telephone | 434-922-2345
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Fax | 434-922-2326
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Provider Business Mailing Address
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Address Line | 2300 COMMONWEALTH DR STE 200
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City | CHARLOTTESVILLE
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State | VA
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Zip | 22901-1894
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Country | US
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Telephone | 434-922-2345
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Fax | 434-922-2326
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Authorized Official
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Title or Position | OWNER
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Name | CHRISTINE MICHELLE BOWERS
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Credential | MS, LMFT
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Telephone | 434-922-2345
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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