Provider Demographics
NPI:1972682961
Name:BOWES, NANCY ANDREA (MS, LPC)
Entity Type:Individual
Prefix:MS
First Name:NANCY
Middle Name:ANDREA
Last Name:BOWES
Suffix:
Gender:F
Credentials:MS, LPC
Other - Prefix:
Other - First Name:ANDREA
Other - Middle Name:
Other - Last Name:BOWES
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MS, LPC
Mailing Address - Street 1:4075 N DOWNER AVE
Mailing Address - Street 2:#3
Mailing Address - City:SHOREWOOD
Mailing Address - State:WI
Mailing Address - Zip Code:53211-2127
Mailing Address - Country:US
Mailing Address - Phone:414-967-0583
Mailing Address - Fax:
Practice Address - Street 1:827 N CASS ST
Practice Address - Street 2:THERAPIES EAST ASSOC.
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53202-3908
Practice Address - Country:US
Practice Address - Phone:414-278-7980
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI318125101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health