Michael Donald Mowrey, LPC
Counselor, Professional in Bentonville, AR. Individual provider (NPI-1).
NPI number1851641237
StatusActive
Last updated in NPPESAug 25, 2016
Details
- NPI
- 1851641237
- Entity type
- Individual (NPI-1)
- Name
- Michael Donald Mowrey
- Credential
- LPC
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Sep 13, 2012
- Last updated
- Aug 25, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | P1506062 | AR | Yes |
| 101YM0800X | Counselor, Mental Health | P1506062 | AR | |
| 101YP2500X | Counselor, Professional | – | – |
Practice location
2508 Se 20th StBentonville, AR 72712-4008
Phone 479-750-2020 · Fax 479-750-4843
Mailing address
2400 S 48th StSpringdale, AR 72762-6683
Phone 479-750-2020 · Fax 479-750-4843
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