Individual
LEAH MARIE BOWLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LLC
Contact information
Practice address
1777 AXTELL DR STE 100, TROY, MI 48084-4400
(248) 862-1171
Mailing address
5314 PINE KNOB LN, CLARKSTON, MI 48346-4077
(248) 563-8080
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6451022240
MI
Other
Enumeration date
07/18/2022
Last updated
07/18/2022
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