Individual
MS. MELISSA BOWMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LMFT
Contact information
Practice address
6700 N LINDER RD STE 156-119, MERIDIAN, ID 83646-6606
(208) 391-3160
(855) 745-3595
Mailing address
6700 N LINDER RD STE 156-119, MERIDIAN, ID 83646-6606
(208) 391-3160
(855) 745-3595
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MFC 51163
CA
106H00000X
Marriage & Family Therapist
MFT7109
ID
Other
Enumeration date
07/25/2012
Last updated
08/03/2022
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