Individual
BOWMAN MCCULLOUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ACMHC
Contact information
Practice address
822 S 1040 W, PAYSON, UT 84651-4614
(503) 412-8049
(801) 609-2447
Mailing address
822 S 1040 W, PAYSON, UT 84651-4614
(503) 412-8049
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
13208551-6009
UT
Other
Enumeration date
08/19/2024
Last updated
08/19/2024
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