Individual provider · Type 1 NPI

Justin Blake Bowen

Mental Health Counselor · Durant, OK

NPI number 1770865230 Active

Practice location

1604 N Washington Ave
Durant, OK 74701-2128

Mailing address

4129 Silo Rd
Durant, OK 74701

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1770865230

Justin Blake Bowen's National Provider Identifier is 1770865230, issued on Sep 12, 2011. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Durant, OK. The record was last updated on Sep 12, 2011.