Individual
JONATHAN MATTHEW BOWEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.ED, LCPC-C
Contact information
Practice address
40 SUMMER ST, BANGOR, ME 04401-6446
(207) 945-4240
Mailing address
311 MEMORIAL UN, ORONO, ME 04469-0001
(207) 949-6768
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
XL3400
ME
101YM0800X
Mental Health Counselor
XL3400
ME
Other
Enumeration date
08/28/2008
Last updated
08/28/2008
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