Individual
ABBY TAYLOR BOWLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC-C
Contact information
Practice address
19600 E ROSS ST, TAHLEQUAH, OK 74464-0545
(539) 234-3504
Mailing address
200 NATIONAL BLVD UNIT A, FORT GIBSON, OK 74434-8570
(918) 348-4509
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPCCANDIDATE11577
OK
Other
Enumeration date
08/30/2023
Last updated
08/30/2023
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