Provider Demographics
NPI:1295223840
Name:BOWMAN, JESSICA AIMEE (LMFT)
Entity Type:Individual
Prefix:
First Name:JESSICA
Middle Name:AIMEE
Last Name:BOWMAN
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18122 STATE ROUTE 9 SE STE I
Mailing Address - Street 2:
Mailing Address - City:SNOHOMISH
Mailing Address - State:WA
Mailing Address - Zip Code:98296-5384
Mailing Address - Country:US
Mailing Address - Phone:425-905-3342
Mailing Address - Fax:425-249-3108
Practice Address - Street 1:18122 STATE ROUTE 9 SE STE I
Practice Address - Street 2:
Practice Address - City:SNOHOMISH
Practice Address - State:WA
Practice Address - Zip Code:98296-5384
Practice Address - Country:US
Practice Address - Phone:425-905-3342
Practice Address - Fax:425-249-3108
Is Sole Proprietor?:No
Enumeration Date:2018-04-30
Last Update Date:2023-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALF61294203101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health