Jeremy Bowman, CDCA

NPI #1316444300 in Shelby, Ohio

Provider Information

NPI Number: 1316444300
Entity Type: Individual
Name: Jeremy Bowman, CDCA
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Substance Abuse Rehabilitation Facility - Substance Abuse Treatment, Children
Credential: CDCA
Enumeration Date: Apr 7, 2018
Last Updated: Apr 7, 2018

Practice Location

Address: 2775 STATE ROUTE 39
City: Shelby
State: Ohio
ZIP Code: 44875-9466
Phone: (419) 747-3322

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Substance Abuse Rehabilitation Facility - Substance Abuse Treatment, Children — Substance Abuse Treatment, Children	3245S0500X	Primary

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