Individual
ANNIKA BOWLSBY MCBRIDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
29120 SW SAN REMO CT, WILSONVILLE, OR 97070-7373
(541) 858-8170
(541) 858-8167
Mailing address
3587 HEATHROW WAY, MEDFORD, OR 97504-4004
(541) 858-8170
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
PROFESSIONALLICENSE
—
Other
Enumeration date
03/24/2021
Last updated
07/16/2024
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