Provider Demographics
NPI:1639987241
Name:BOWDEN, NATASHA MAY (LADC)
Entity type:Individual
Prefix:
First Name:NATASHA
Middle Name:MAY
Last Name:BOWDEN
Suffix:
Gender:F
Credentials:LADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14 PINE ST APT 4
Mailing Address - Street 2:
Mailing Address - City:MANCHESTER
Mailing Address - State:NH
Mailing Address - Zip Code:03103-6198
Mailing Address - Country:US
Mailing Address - Phone:707-291-8825
Mailing Address - Fax:
Practice Address - Street 1:14 PINE ST APT 4
Practice Address - Street 2:
Practice Address - City:MANCHESTER
Practice Address - State:NH
Practice Address - Zip Code:03103-6198
Practice Address - Country:US
Practice Address - Phone:707-291-8825
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-12-28
Last Update Date:2024-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH1544101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)