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NPI Code Detail

MEDICARE: CAROL T. BOWES LPCC-S, LICDC-CS

MEDICARE: CAROL T. BOWES LPCC-S, LICDC-CS
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 CounselorE.0001797-SUPVOH
2101YA0400XAddiction (Substance Use Disorder) CounselorCS.00000972OH
3101YA0400XAddiction (Substance Use Disorder) CounselorCS-R.943921OH
4101YA0400XAddiction (Substance Use Disorder) CounselorLICDC.943921OH
5101YM0800XMental Health CounselorE.0001797-SUPVOH
6101YP2500XProfessional CounselorLE-00008410OH

General Provider Information

NPI Number : 1881912269
Entity Type Code : Individual
Provider Name (Legal Business Name) : CAROL T. BOWES LPCC-S, LICDC-CS
Provider Business Mailing Address
First Line : 1735 S HAWKINS AVE
Second Line :
City : AKRON
State : OH
Zip : 44320-3902
Country : US
Telephone Number : 330-867-5400
Fax Number : 330-330-8698
Provider Business Practice Location Address
First Line : 1735 S HAWKINS AVE
Second Line :
City : AKRON
State : OH
Zip : 44320-3902
Country : US
Telephone Number : 330-867-5400
Fax Number : 330-330-8698
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/11/2010
Last Update Date : 08/07/2024

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Directions to “ CAROL T. BOWES LPCC-S, LICDC-CS” Practice Location

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