Individual
ANISSA BOWERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2405 BEMISS RD, VALDOSTA, GA 31602-1936
(229) 333-2351
Mailing address
3338 COUNTRY CLUB RD # 102, VALDOSTA, GA 31605-1044
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
102L00000X
Psychoanalyst
—
—
106H00000X
Marriage & Family Therapist
Primary
MFT001989
GA
Other
Enumeration date
01/02/2023
Last updated
01/02/2023
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