MEDICARE: JULIA ANN COWENS 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
1	101YM0800X	Mental Health Counselor	0701003699	VA

General Provider Information

NPI Number	:	1326040593
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JULIA ANN COWENS LPC

Provider Business Mailing Address
First Line	:	775 N MAIN ST
Second Line	:
City	:	BRIDGEWATER
State	:	VA
Zip	:	22812-1655
Country	:	US
Telephone Number	:	540-828-2886
Fax Number	:

Provider Business Practice Location Address
First Line	:	23 W MAIN ST
Second Line	:
City	:	LURAY
State	:	VA
Zip	:	22835-1230
Country	:	US
Telephone Number	:	540-743-4548
Fax Number	:	540-743-6067

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/01/2005
Last Update Date	:	07/08/2007

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