Individual provider · Type 1 NPI
Korel Larone Bowman, MS, CAGS
Mental Health Counselor · Philadelphia, PA
NPI number
1659601821
Active
Practice location
2723 N 45th St
Philadelphia, PA 19131-1516
Mailing address
2723 North 45th Street
Philadelphia, PA 19131
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | None listed |
Mental Health Counselor: Definition to come...
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About NPI 1659601821
Korel Larone Bowman, MS, CAGS's National Provider Identifier is 1659601821, issued on Jan 11, 2010. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Philadelphia, PA. The record was last updated on Jan 11, 2010.