Individual
LISA A. BOWLINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CASAC A
Contact information
Practice address
133 N LEWIS ST, AUBURN, NY 13021-2027
(315) 382-3334
(315) 382-3334
Mailing address
329 N SALINA ST, SYRACUSE, NY 13203-1755
(315) 471-1564
(315) 471-2431
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
35025
—
103TA0400X
Addiction (Substance Use Disorder) Psychologist
Primary
35025
NY
Other
Enumeration date
07/30/2025
Last updated
07/30/2025
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