Individual
BRANDI BOWEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCDCII
Contact information
Practice address
547 E 11TH AVE, COLUMBUS, OH 43211-2603
(614) 224-4506
(614) 291-0118
Mailing address
547 E 11TH AVE, COLUMBUS, OH 43211-2603
(614) 224-4506
(614) 291-0118
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LCDCII.131251
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0263345
—
OH
Enumeration date
10/05/2017
Last updated
01/30/2023
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