Individual
ANTHONY DARRELL BOWENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA, LLPC
Contact information
Practice address
29556 SOUTHFIELD RD, SOUTHFIELD, MI 48076-2021
(313) 970-6851
Mailing address
29556 SOUTHFIELD RD, SOUTHFIELD, MI 48076-2021
(313) 970-6851
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6401016406
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6401016406
—
MI
Enumeration date
07/06/2018
Last updated
07/06/2018
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