Individual
DARRIN BOWEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCAS
Contact information
Practice address
940 W LEBANON ST, MOUNT AIRY, NC 27030-2222
(336) 783-6919
(336) 783-6923
Mailing address
284 EXECUTIVE PARK DR STE 100, CONCORD, NC 28025-1833
(704) 939-1100
(704) 939-1173
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
BP02941918
WV
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LCAS23153
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0005489001
—
WV
05
—
0005489002
—
WV
Enumeration date
02/26/2015
Last updated
11/13/2024
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