Individual
MR. CALVIN GENE BOWLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CAC
Contact information
Practice address
2601 TULANE AVE, # 800, NEW ORLEANS, LA 70119-7462
(504) 826-2004
(504) 826-2005
Mailing address
2601 TULANE AVE., # 800, NEW ORLEANS, LA 70119
(504) 826-2004
(504) 826-2005
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1089
LA
Other
Enumeration date
02/17/2009
Last updated
02/17/2009
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