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NPI Code Detail

MEDICARE: MS. MARK ELLEN BOWLES MA, LPC

MEDICARE: MS. MARK ELLEN BOWLES MA, 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
1101Y00000XCounselor13539TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1497783476
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. MARK ELLEN BOWLES MA, LPC
Provider Business Mailing Address
First Line : 201 E STATE LOOP 543
Second Line :
City : WEST POINT
State : TX
Zip : 78963-5267
Country : US
Telephone Number : 512-289-5623
Fax Number :
Provider Business Practice Location Address
First Line : 502 HILL ST
Second Line :
City : BASTROP
State : TX
Zip : 78602-3949
Country : US
Telephone Number : 512-289-5623
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/29/2006
Last Update Date : 01/25/2023

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