Calvin Gene Bowlin, CAC

Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · New Orleans, LA

NPI 1003055948 · NPPES record last updated Feb 17, 2009

Key facts

NPI
1003055948
Entity type
Individual (NPI type 1)
Primary specialty
Addiction (Substance Use Disorder) Counselor 101YA0400X
License
1089 (LA)
Practice address
2601 Tulane Ave
# 800
New Orleans, LA 70119-7462
Phone
(504) 826-2004
Fax
(504) 826-2005
NPI assigned
Feb 17, 2009
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
1089LAMDSchool Psychologist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 1089 LA Yes

Addresses

Primary practice location

2601 Tulane Ave
# 800
New Orleans, LA 70119-7462

Mailing address

2601 Tulane Ave.
# 800
New Orleans, LA 70119
Phone (504) 826-2004

Other providers in New Orleans, LA

All providers in New Orleans, LA · Addiction (Substance Use Disorder) Counselor in Louisiana

Sources for this page

Verify at the official NPI Registry.