Individual
BURCH MICHAEL BOWEN II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LAC
Contact information
Practice address
2282 US HIGHWAY 93 S, KALISPELL, MT 59901-8499
(406) 885-8851
Mailing address
214 SPRUCE RD APT 11, KALISPELL, MT 59901-3393
(406) 250-1655
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
BBH-LAC-PRV-62259
MT
Other
Enumeration date
01/23/2023
Last updated
01/23/2023
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