Jacqueline Bow, M.ED, LPC
Individual provider Active NPI Professional Counselor · Alpine, TX
NPI 1851763577 · NPPES record last updated Oct 21, 2015
Key facts
- NPI
- 1851763577
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 68591 (TX)
- Practice address
- 903 E Brown St
Alpine, TX 79830-3201 - Phone
- (512) 297-7355
- NPI assigned
- Oct 21, 2015
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Education
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 68591 | TX | MD | Professional Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 68591 | TX | Yes |
Addresses
Primary practice location
903 E Brown St
Alpine, TX 79830-3201
Mailing address
PO Box 306
Alpine, TX 79831-0306
Phone (512) 297-7355
Other providers in Alpine, TX
- Big Bend Hospital Corporation
- Big Bend Hospital Corporation
- Big Bend Hospital Corporation
- Big Bend Hospital Corporation
- Big Bend Regional Medical Center Home Health
- Brewster Emergency Medicine Associates PA
- Gary W. Brewton
- Sheri Robin Campbell
- Eleazar R Cano
- James Edward Cano
All providers in Alpine, TX · Professional Counselor in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 21, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.