Jesse F Bowen

NPI #1831774405 in Centralia, Washington

Provider Information

NPI Number: 1831774405
Entity Type: Individual
Name: Jesse F Bowen
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Peer Specialist
Enumeration Date: Mar 15, 2021
Last Updated: Aug 13, 2021

Practice Location

Address: 1126 S GOLD ST
City: Centralia
State: Washington
ZIP Code: 98531-3768
Phone: (360) 807-4929

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Case Manager/Care Coordinator	171M00000X
Peer Specialist	175T00000X	Primary

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