Individual
VANESSA L BOWENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ADT
Contact information
Practice address
201 BROADWAY ST, FREDERICK, MD 21701-6695
(240) 801-7799
Mailing address
44 GLOBE ST, MARTINSBURG, WV 25404-6562
(681) 242-2482
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
11/11/2021
Last updated
11/11/2021
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