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Individual

DR. BRIAN BOWLES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MED, PHD, LPC

Contact information

Practice address
601 W NIFONG BLVD, BUILDING 1, STE 1E, COLUMBIA, MO 65203-6804
(573) 228-6702
(573) 228-6703
Mailing address
601 W NIFONG BLVD, BUILDING 1, STE 1E, COLUMBIA, MO 65203-6804
(573) 228-6702
(573) 228-6703

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2011005431
MO

Other

Enumeration date
01/07/2013
Last updated
04/05/2013
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