Individual
CODY BOWEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1132 HIGH ST N, MALTA, OH 43758-9272
(740) 651-5021
Mailing address
1132 HIGH ST N, MALTA, OH 43758-9272
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CDCA.182848
OH
Other
Enumeration date
05/10/2022
Last updated
06/02/2023
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