Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YP2500X | Professional Counselor | 3296 | NC |
NPI | 1003475716 |
---|---|
Provider Name | Ms. Laurie S Bowers |
First Address | Burlington, NC 27215-7037 |
Second Address | Burlington, NC 27215-7037 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 07/06/2019 |
Last Update Date | 07/06/2019 |