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NPI Code Detail

MEDICARE: PATRICIA BOWERS CHERRY LPC

MEDICARE:   PATRICIA BOWERS CHERRY  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
1101YM0800XMental Health Counselor2870TX

General Provider Information

NPI Number : 1164151833
Entity Type Code : Individual
Provider Name (Legal Business Name) : PATRICIA BOWERS CHERRY LPC
Provider Business Mailing Address
First Line : 9936 WINDLAKE CIR
Second Line :
City : DALLAS
State : TX
Zip : 75238-2123
Country : US
Telephone Number : 121-450-3856
Fax Number :
Provider Business Practice Location Address
First Line : 9936 WINDLAKE CIR
Second Line :
City : DALLAS
State : TX
Zip : 75238-2123
Country : US
Telephone Number : 121-450-3856
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/08/2022
Last Update Date : 06/08/2022

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Directions to “ PATRICIA BOWERS CHERRY LPC” Practice Location

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