Individual
MS. ANDREA R BOWENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LADC
Contact information
Practice address
691 JOHN WESLEY DOBBS AVE NE STE V-141, ATLANTA, GA 30312-1690
(678) 866-4045
(678) 866-4045
Mailing address
691 JOHN WESLEY DOBBS AVE NE STE V-141, ATLANTA, GA 30312-1690
(678) 866-4045
(678) 866-4045
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1389
GA
101YA0400X
Addiction (Substance Use Disorder) Counselor
892
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1389
ALCOHOL & DRUG COUNSELOR
GA
01
—
892
ALCOHOL & DRUG COUNSELOR
NE
Enumeration date
02/09/2007
Last updated
08/16/2023
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