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Individual

JASON BOWYER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MS, LAC

Contact information

Practice address
109 N 48TH ST, SPRINGDALE, AR 72762-3743
(540) 136-6492
Mailing address
879 ASH CT, SILOAM SPRINGS, AR 72761-2738
(501) 366-4928

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
A2208029
AR

Other

Enumeration date
09/21/2023
Last updated
09/21/2023
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