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Individual

MR. CHRISTOPHER BOWEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LCADC

Contact information

Practice address
5 CARPENTER PL, SPARTA, NJ 07871-1142
(973) 610-0148
Mailing address
5 CARPENTER PL, SPARTA, NJ 07871-1142

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
37LC00300900
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
37LC00300900
NJ
Enumeration date
10/11/2022
Last updated
10/11/2022
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