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Individual
TERRA BOWEN
Active
Individual
TERRA BOWEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
166331
OH
101YM0800X
Mental Health Counselor
—
—
163W00000X
Registered Nurse
Primary
420011
OH
171M00000X
Case Manager/Care Coordinator
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0498469
—
OH
Enumeration date
03/08/2018
Last updated
01/03/2024
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