Individual
ELLEN CAMILLE BOWENS
Active
Individual
ELLEN CAMILLE BOWENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MFT
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
225C00000X
Rehabilitation Counselor
Primary
—
—
Other
Enumeration date
08/30/2010
Last updated
12/07/2010
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