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Individual
JESSICA BOWDEN
Active
Individual
JESSICA BOWDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CDCA.167835
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CDCA.164368
OH
101YM0800X
Mental Health Counselor
—
—
171M00000X
Case Manager/Care Coordinator
—
—
175T00000X
Peer Specialist
APS.002826
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0258820
—
OH
Enumeration date
11/13/2017
Last updated
09/14/2023
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