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Individual

CASEY L BOWER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPCC-S, LICDC

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LICDC.161993
OH
101YM0800X
Mental Health Counselor
C.1700541
OH
101YP2500X
Professional Counselor
Primary
E.1901519
OH

Other

Enumeration date
07/12/2017
Last updated
11/11/2022
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