Individual
AMY RAQUEL BOWERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CSC-AD
Contact information
Practice address
1401 MADISON PARK DR, GLEN BURNIE, MD 21061-5881
(410) 999-0891
Mailing address
1401 MADISON PARK DR, GLEN BURNIE, MD 21061-5881
(410) 999-0891
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
SC3265
MD
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
SC3265
MD
Other
Enumeration date
04/24/2023
Last updated
04/24/2023
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