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Kevin Edward Bowden, LCDC 3

Counselor, Addiction (Substance Use Disorder) in Lima, OH. Individual provider (NPI-1).

NPI number1013418052
StatusActive
Last updated in NPPESFeb 26, 2018

Details

NPI
1013418052
Entity type
Individual (NPI-1)
Name
Mr. Kevin Edward Bowden
Credential
LCDC 3
Sex
Male
Sole proprietor
No
Enumeration date
Feb 26, 2018
Last updated
Feb 26, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YA0400X Counselor, Addiction (Substance Use Disorder)lcdc.161546OHYes

Practice location

799 S Main St
Lima, OH 45804-1519

Phone 567-242-6072

Mailing address

5982 Rhodes Rd
Kent, OH 44240-8100

Phone 330-673-1347 · Fax 330-678-3677

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