Individual
TERESSA BOWMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A, QMHP
Contact information
Practice address
9242 MOSBY ST, MANASSAS, VA 20110-5038
(240) 601-9982
Mailing address
9242 MOSBY ST, MANASSAS, VA 20110-5038
(240) 601-9982
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0701007522
VA
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
0701007522
—
Other
Enumeration date
05/28/2015
Last updated
08/05/2021
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