Individual
MR. BRENT ALLEN BOWERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA, LCSW
Contact information
Practice address
3165 MCKELVEY RD, SUITE 200, BRIDGETON, MO 63044-2550
(314) 206-3900
(314) 206-3992
Mailing address
1430 OLIVE ST, SUITE 400, SAINT LOUIS, MO 63103-2303
(314) 206-3452
(314) 206-3992
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
004025
MO
Other
Enumeration date
07/28/2006
Last updated
07/08/2007
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