Individual
JANA K BOWMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
404 STEVE DR, RUSSELL SPRINGS, KY 42642-4622
(270) 866-3161
(270) 866-3163
Mailing address
PO BOX 1080, BURKESVILLE, KY 42717-1080
(270) 858-6655
(270) 858-4607
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
254384
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14575740
CAQH
—
05
—
7100633960
—
KY
Enumeration date
11/05/2019
Last updated
06/16/2023
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