Individual
BRETT BOWERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCMHCS, LCAS
Contact information
Practice address
2903 BUCKINGHAM RD, DURHAM, NC 27707-4630
(919) 801-9010
Mailing address
2903 BUCKINGHAM RD, DURHAM, NC 27707-4630
(919) 801-9010
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
21607
NC
101YM0800X
Mental Health Counselor
Primary
S6853
NC
171400000X
Health & Wellness Coach
—
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
21607
LICENSED CLINICAL ADDICTIONS SPECIALIST
NC
01
—
S6857
LICENSED CLINICAL MENTAL HEALTH COUNSELOR SUPERVISOR
NC
Enumeration date
05/04/2021
Last updated
05/04/2021
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