Individual
SUZETTE M BOWEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
8235 YMCA PLAZA DR, SUITE 200, BATON ROUGE, LA 70810-0939
(225) 767-5673
(225) 767-3501
Mailing address
8235 YMCA PLAZA DR STE 200, BATON ROUGE, LA 70810-0939
(225) 767-5673
(225) 767-3501
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
3685
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
27496989
EIN
LA
Enumeration date
05/16/2013
Last updated
05/16/2013
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