Doctor Name: | MR. WARREN G BOWLES |
NPI Number: | 1427331966 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MS.ED, LPC |
License Number: | 2013044732 |
Business Practice Address: | 406 N Spring St Ste 2 Perryville, MO - 637751912 |
Business Phone Number: | 5735478305 |
Business Fax Number: | 5736514345 |
Mailing Address: | 402 S Silver Springs Rd, CAPE GIRARDEAU |
State: | MO |
Postal Code: | 637037536 |
Phone Number: | 5733341100 |
Fax Number: | 5736514345 |
NPI Enumeration Date: | 09/21/2011 |
NPI Last Update Date: | 01/07/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 2013044732 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MO |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |