Individual
JONATHAN MARK BOWERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PRS, QMHS
Contact information
Practice address
725 BOARDMAN CANFIELD RD STE C4, YOUNGSTOWN, OH 44512-4367
(855) 292-9778
Mailing address
725 BOARDMAN CANFIELD RD STE C4, YOUNGSTOWN, OH 44512-4367
(855) 292-9778
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
175T00000X
Peer Specialist
Primary
APS.003648
OH
Other
Enumeration date
11/08/2022
Last updated
11/08/2022
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