Individual
JULIE MARIE BOWEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
5980 9TH ST BLDG 1259, FORT BELVOIR, VA 22060-5509
(571) 231-1210
Mailing address
3252 TITANIC DR, STAFFORD, VA 22554-2627
(630) 210-6048
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
0710103315
VA
101YM0800X
Mental Health Counselor
0732000099
VA
1041C0700X
Clinical Social Worker
Primary
0904011141
VA
Other
Enumeration date
10/22/2018
Last updated
04/10/2024
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