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NPI Code Detail

MEDICARE: MARIAH COWLES M.S.ED

MEDICARE: MARIAH COWLES M.S.ED
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
1101YP2500XProfessional Counselor0701015914VA

General Provider Information

NPI Number : 1124974241
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARIAH COWLES M.S.ED
Provider Business Mailing Address
First Line : 6325 N CENTER DR STE 120
Second Line :
City : NORFOLK
State : VA
Zip : 23502-0012
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 6325 N CENTER DR STE 120
Second Line :
City : NORFOLK
State : VA
Zip : 23502-0012
Country : US
Telephone Number : 540-739-4107
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/10/2026
Last Update Date : 03/10/2026

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Directions to “ MARIAH COWLES M.S.ED” Practice Location

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