Individual
MISS GERQUEL BOWMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MHS
Contact information
Practice address
3801 CANAL ST, NEW ORLEANS, LA 70119
(504) 482-2735
Mailing address
3801 CANAL ST, NEW ORLEANS, LA 70119-6082
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YP2500X
Professional Counselor
Primary
7347
LA
171M00000X
Case Manager/Care Coordinator
009053721
LA
Other
Enumeration date
08/22/2017
Last updated
06/08/2022
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