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NPI Code Detail

MEDICARE: MS. BROOKE ALLISON BOWEN LPC

MEDICARE:  MS. BROOKE ALLISON BOWEN  LPC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101Y00000XCounselor2660AL
2101YA0400XAddiction (Substance Use Disorder) Counselor2660AL
3101YM0800XMental Health Counselor2660
4101YP2500XProfessional Counselor2660AL
5103K00000XBehavior Analyst2660AL
6106H00000XMarriage & Family Therapist2660AL

General Provider Information

NPI Number : 1003139809
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. BROOKE ALLISON BOWEN LPC
Provider Business Mailing Address
First Line : 425 5TH AVE NW
Second Line :
City : ATTALLA
State : AL
Zip : 35954-2214
Country : US
Telephone Number : 256-492-7800
Fax Number : 256-494-5536
Provider Business Practice Location Address
First Line : 301 14TH ST NW
Second Line :
City : FORT PAYNE
State : AL
Zip : 35967-3155
Country : US
Telephone Number : 256-845-4571
Fax Number : 256-845-4582
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/08/2010
Last Update Date : 08/13/2013

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Directions to “ MS. BROOKE ALLISON BOWEN LPC” Practice Location

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