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Organization

HAVELOCK PSYCHOTHERAPY, LLC

Active
Other names
James Michael Bowers, LLC
Organization subpart
No

Provider details

NPI number
Authorized official
JAMES MICHAEL BOWERS LICSW (OWNER)
(402) 404-6973
Entity
Organization

Contact information

Practice address
6101 HAVELOCK AVE ST 2A, LINCOLN, NE 68507-1268
(402) 404-6973
Mailing address
6101 HAVELOCK AVE ST 2A, LINCOLN, NE 68507-1268
(402) 404-6973

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
1667
NE
1041C0700X
Clinical Social Worker
Primary
1653
NE

Other

Enumeration date
01/02/2018
Last updated
01/02/2018
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