Provider Demographics
NPI:1962622811
Name:BOWER, CAROLE M (MA, LPCC-S)
Entity type:Individual
Prefix:MS
First Name:CAROLE
Middle Name:M
Last Name:BOWER
Suffix:
Gender:F
Credentials:MA, LPCC-S
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:409 N BROADWAY ST
Mailing Address - Street 2:
Mailing Address - City:LEBANON
Mailing Address - State:OH
Mailing Address - Zip Code:45036-1770
Mailing Address - Country:US
Mailing Address - Phone:513-409-5050
Mailing Address - Fax:513-409-5050
Practice Address - Street 1:409 N BROADWAY ST
Practice Address - Street 2:
Practice Address - City:LEBANON
Practice Address - State:OH
Practice Address - Zip Code:45036
Practice Address - Country:US
Practice Address - Phone:513-409-5050
Practice Address - Fax:513-409-5031
Is Sole Proprietor?:No
Enumeration Date:2007-04-25
Last Update Date:2019-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHE-0006333101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health