Latisha Bowman, LPC

NPI #1861739286 in Emmett, Idaho

Provider Information

NPI Number
1861739286
Entity Type
Individual
Name
Latisha Bowman, LPC
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Counselor - Professional
Credential
LPC
Enumeration Date
Jan 4, 2013
Last Updated
Jan 4, 2013

Practice Location

Address
316 S BOISE AVE
City
Emmett
State
Idaho
ZIP Code
83617-2964
Phone
(208) 440-8945

Specialties & Taxonomy Codes

Specialty
Counselor - ProfessionalProfessional

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