Individual
MISS NICHOLE B BOWKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
126 E MAIN AVE, ZEELAND, MI 49464-1736
(616) 202-1690
Mailing address
126 E MAIN AVE, ZEELAND, MI 49464-1736
(262) 417-0691
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103K00000X
Behavior Analyst
Primary
—
—
106S00000X
Behavior Technician
—
—
247200000X
Other Technician
—
—
Other
Enumeration date
04/10/2018
Last updated
08/13/2025
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