Individual
CHERYL A BOWEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LADC, LCMHC
Contact information
Practice address
3212 US ROUTE 5, DERBY, VT 05829-9677
(802) 723-5888
Mailing address
PO BOX 58, WEST CHARLESTON, VT 05872-0058
(802) 723-5888
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
000023
VT
101YM0800X
Mental Health Counselor
Primary
068.0057723
VT
Other
Enumeration date
06/04/2013
Last updated
06/06/2013
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