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Individual

AMY LU BOWERS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
711 BROAD ST, ORIENTAL, NC 28571-9779
(304) 642-1135
Mailing address
711 BROAD ST, ORIENTAL, NC 28571-9779
(304) 642-1135

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
2380
WV
101YM0800X
Mental Health Counselor
8389
NC
101YP2500X
Professional Counselor
2380
WV
101YP2500X
Professional Counselor
Primary
8389
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
6115132
NC
Enumeration date
03/06/2012
Last updated
12/27/2024
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