Individual
MS. REBECCA BOWERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
20 LAKE ST N STE 103, FOREST LAKE, MN 55025-2510
(651) 464-3685
Mailing address
11316 FERGUS ST NE UNIT D, BLAINE, MN 55449-4468
(612) 619-8005
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
3470
MN
Other
Enumeration date
12/06/2017
Last updated
01/18/2020
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