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Individual

MR. CHAUNCEY BOWIE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
4000 W METROPOLITAN DR STE 405, ORANGE, CA 92868-3504
(714) 834-3623
Mailing address
4000 W METROPOLITAN DR STE 405, ORANGE, CA 92868-3504
(714) 834-3623

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
CA
101YM0800X
Mental Health Counselor
106S00000X
Behavior Technician
Primary
225400000X
Rehabilitation Practitioner
Primary
CA

Other

Enumeration date
11/19/2013
Last updated
02/05/2026
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