MEDICARE: ALANA K BOWMAN MS, NCC, LMHC

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	LH60213161	WA

General Provider Information

NPI Number	:	1669751392
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALANA K BOWMAN MS, NCC, LMHC

Provider Business Mailing Address
First Line	:	104 S FREYA ST STE 114
Second Line	:
City	:	SPOKANE
State	:	WA
Zip	:	99202-4868
Country	:	US
Telephone Number	:	509-325-4169
Fax Number	:	509-325-4239

Provider Business Practice Location Address
First Line	:	104 S FREYA ST STE 114
Second Line	:
City	:	SPOKANE
State	:	WA
Zip	:	99202-4868
Country	:	US
Telephone Number	:	509-325-4169
Fax Number	:	509-325-4239

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

Provider Enumeration Date	:	08/11/2011
Last Update Date	:	12/16/2019

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