Individual
BRIDGETTE BOWMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CAS
Contact information
Practice address
130 S FIG ST, ESCONDIDO, CA 92025-4401
(760) 741-5098
Mailing address
130 S FIG ST, ESCONDIDO, CA 92025-4401
(760) 741-5098
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
01040634
CA
Other
Enumeration date
12/07/2007
Last updated
12/07/2007
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