Provider Demographics
NPI:1801432547
Name:BOWMAN, CYNTHIA KAREN (LPCC)
Entity type:Individual
Prefix:
First Name:CYNTHIA
Middle Name:KAREN
Last Name:BOWMAN
Suffix:
Gender:F
Credentials:LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 474
Mailing Address - Street 2:
Mailing Address - City:NEWCASTLE
Mailing Address - State:CA
Mailing Address - Zip Code:95658-0474
Mailing Address - Country:US
Mailing Address - Phone:916-217-7117
Mailing Address - Fax:
Practice Address - Street 1:240 GINGER DR
Practice Address - Street 2:
Practice Address - City:AUBURN
Practice Address - State:CA
Practice Address - Zip Code:95603-5714
Practice Address - Country:US
Practice Address - Phone:916-217-7117
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-11-18
Last Update Date:2019-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALPCC6910101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health