Individual
LORNA BEVERLY BOWEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC, LMFT
Contact information
Practice address
2140 MCGEE RD STE C700, SNELLVILLE, GA 30078-7018
(404) 547-1960
(770) 680-5715
Mailing address
6194 WATERTON WAY, LITHONIA, GA 30058-3520
(404) 547-1960
(770) 680-5715
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
LPC008065
GA
106H00000X
Marriage & Family Therapist
Primary
MFT001342
GA
Other
Enumeration date
01/17/2019
Last updated
01/17/2019
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