Individual
MS. JAYNE ALBERTA BOWMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC, BCPC
Contact information
Practice address
1831 E 71ST ST, 256, TULSA, OK 74136-3922
(918) 289-7827
Mailing address
1831 E 71ST ST, 256, TULSA, OK 74136-3922
(918) 289-7827
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
653
OK
101YP2500X
Professional Counselor
Primary
3030
OK
Other
Enumeration date
01/16/2008
Last updated
09/02/2011
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