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Daeja Cassidy Bowman
Mental Health Counselor in Tumwater, Washington
NPI 1083204192

Daeja Cassidy Bowman is a Mental Health Counselor based in Olympia, WA and is specialized in Mental Health. Daeja Cassidy Bowman practices in Tumwater, WA. The NPI Number for Daeja Cassidy Bowman is 1083204192 and holds a License No. CG61141218 (Washington).

The current practice location address for Daeja Cassidy Bowman is 3285 Ferguson St. Sw, Tumwater, WA and can be reached out via phone at 360-943-1907.

Location: 3285 Ferguson St. Sw, Tumwater, WA, 98512-9014
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1083204192
Provider Name
Daeja Cassidy Bowman
Credential
Provider Entity Type
Individual
Gender
Female
Address
3285 Ferguson St. Sw, Tumwater, WA, 98512-9014
Phone Number
360-943-1907
Fax Number
Provider Enumeration Date
01/22/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3285 Ferguson St. Sw
City
Tumwater
State
Washington
Zip
98512
Phone Number
360-943-1907
Fax Number
person
Provider Business Mailing Address Details
Address
3285 Ferguson St. Sw
City
Tumwater
State
Washington
Zip
98512
Phone Number
360-943-1907
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
CG61141218 (Washington)
Definition
Definition to come...
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