Individual
MS. MARK ELLEN BOWLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LPC
Contact information
Practice address
502 HILL ST, BASTROP, TX 78602-3949
(512) 289-5623
Mailing address
201 E STATE LOOP 543, WEST POINT, TX 78963-5267
(512) 289-5623
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
13539
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1219446 05
—
TX
Enumeration date
06/29/2006
Last updated
01/25/2023
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