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Individual

STEPHANIE JAN BOWLES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.ED,CRC,LPC,NCC

Contact information

Practice address
215 UNIVERSITY DR, GOODING, ID 83330-6155
(208) 595-4946
Mailing address
1107 BAILEY AVE, FILER, ID 83328-5425
(208) 585-1643

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LPC-4032
ID

Other

Enumeration date
07/02/2010
Last updated
11/30/2010
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