Individual
MELISSA BOWEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC-S
Contact information
Practice address
850 KALISTE SALOOM RD STE 121, LAFAYETTE, LA 70508
(337) 400-9725
Mailing address
850 KALISTE SALOOM RD STE 121, LAFAYETTE, LA 70508-4230
(337) 400-9725
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
4980
LA
Other
Enumeration date
03/21/2011
Last updated
03/14/2019
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