Individual
MR. BRENT L BOWEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MBA, MS, CFE, LMFT
Contact information
Practice address
10605 JUDICIAL DR, BUILDING A-4, FAIRFAX, VA 22030-5167
(703) 273-6065
(703) 273-8046
Mailing address
10605 JUDICIAL DR, BUILDING A-4, FAIRFAX, VA 22030-5167
(703) 273-6065
(703) 273-8046
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
0717001094
VA
Other
Enumeration date
11/30/2006
Last updated
07/08/2007
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