Individual
MS. ELLEN RUDGE BOWMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
12 SHUMAN AVE, SUITE 18, AUGUSTA, ME 04330-6020
(207) 621-0646
(207) 621-6861
Mailing address
190 THUNDERCASTLE RD, READFIELD, ME 04355-3702
(207) 685-9087
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
CC234
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LICENSE # CC234
CLINICAL COUNSELOR
ME
Enumeration date
05/16/2007
Last updated
07/08/2007
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