Individual
MRS. BILLIE RUTH BOWEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICENSED PROFESSIONA
Contact information
Practice address
7252 PRINCEDALE, TYLER, TX 75703-0548
(903) 561-3600
(903) 565-4020
Mailing address
7252 PRINCEDALE, TYLER, TX 75703-0548
(903) 561-3600
(903) 565-4020
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
14741
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
121978406
—
TX
05
—
121978407
—
TX
Enumeration date
03/01/2006
Last updated
05/23/2024
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