Individual
WANDA BOWDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
507 LAY DAM RD, CLANTON, AL 35045-2917
(205) 624-5854
(205) 000-0000
Mailing address
1383 HIGHLAND ST, MONTEVALLO, AL 35115-3571
(205) 624-5854
(205) 000-0000
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
1763
AL
Other
Enumeration date
07/27/2016
Last updated
07/27/2016
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