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Individual

MR. DEREK BOWERS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LMFT

Contact information

Practice address
3421 ANTIETAM CT, EDWARDSVILLE, IL 62025-3136
(270) 304-4209
Mailing address
3421 ANTIETAM CT, EDWARDSVILLE, IL 62025-3136
(270) 304-4209

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
166.001719
IL
106H00000X
Marriage & Family Therapist
Primary
172666
KY
106H00000X
Marriage & Family Therapist
2023014713
MO
106H00000X
Marriage & Family Therapist
205324
TX
106H00000X
Marriage & Family Therapist
2214
NC
106H00000X
Marriage & Family Therapist
F.2300345
OH
106H00000X
Marriage & Family Therapist
MT4686
FL

Other

Enumeration date
04/24/2017
Last updated
09/19/2025
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