Provider Demographics
NPI:1760891113
Name:DBOWKER COUNSELING LLC
Entity Type:Organization
Organization Name:DBOWKER COUNSELING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:DOROTHY
Authorized Official - Middle Name:
Authorized Official - Last Name:BOWKER
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:609-703-5649
Mailing Address - Street 1:416 S PITNEY RD
Mailing Address - Street 2:
Mailing Address - City:GALLOWAY
Mailing Address - State:NJ
Mailing Address - Zip Code:08205-9774
Mailing Address - Country:US
Mailing Address - Phone:609-703-5649
Mailing Address - Fax:609-484-7584
Practice Address - Street 1:416 S PITNEY RD
Practice Address - Street 2:
Practice Address - City:GALLOWAY
Practice Address - State:NJ
Practice Address - Zip Code:08205-9774
Practice Address - Country:US
Practice Address - Phone:609-703-5649
Practice Address - Fax:609-484-7584
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-08-11
Last Update Date:2014-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37PC00427200101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ1184999823OtherSOLE PROPRIETOR