Marvin Bowens Sr., LAC
Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Kansas City, KS
NPI 1013366749 · NPPES record last updated Jun 3, 2016
Key facts
- NPI
- 1013366749
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- License
- 1011 (KS)
- Practice address
- 1125 N 5TH St
Kansas City, KS 66101-2305 - Phone
- (913) 342-0888
- Fax
- (913) 342-2466
- NPI assigned
- Jun 3, 2016
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 1011 | KS | Yes |
Addresses
Primary practice location
1125 N 5TH St
Kansas City, KS 66101-2305
Mailing address
1125 N 5TH St
Kansas City, KS 66101-2305
Phone (913) 342-0888
Other providers in Kansas City, KS
- Stacey R Bosch
- Madisen Boskind
- Damieon Boswell
- Christopher Bouton
- Morgan Rae Bowden
- Diana Cochran Bowman
- Laurie L Bowman
- Ryan W Bowman
- Christopher Jordan Boyd
- Clara Boyd
All providers in Kansas City, KS · Addiction (Substance Use Disorder) Counselor in Kansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 3, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.