Individual
DEMETRA I BOWMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
500 MACKEY AVE, MARTINS FERRY, OH 43935-1697
(740) 633-4440
(740) 633-4141
Mailing address
500 MACKEY AVE, MARTINS FERRY, OH 43935-1697
(740) 633-4440
(740) 633-4141
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2106
WV
101YP2500X
Professional Counselor
E4346
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000389894
ANTHEM BCBS
KY
01
—
001764190
MOUNTAIN STATE BCBS
WV
01
—
801582000
MAGELLAN BEHAVIORAL HEALT
OH
Enumeration date
02/07/2007
Last updated
04/30/2025
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