Robert Bowman

Individual provider Active NPI Professional Counselor · Warrensburg, MO

NPI 1295498657 · NPPES record last updated Oct 21, 2021

Key facts

NPI
1295498657
Entity type
Individual (NPI type 1)
Primary specialty
Professional Counselor 101YP2500X
License
2005036984 (MO)
Practice address
157 SE 215TH Rd
Warrensburg, MO 64093-7779
Phone
(660) 441-3128
NPI assigned
Oct 21, 2021
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
2005036984MOMDProfessional Counselor

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 2005036984 MO Yes

Addresses

Primary practice location

157 SE 215TH Rd
Warrensburg, MO 64093-7779

Mailing address

157 SE 215TH Rd
Warrensburg, MO 64093-7779
Phone (660) 441-3128

Other providers in Warrensburg, MO

All providers in Warrensburg, MO · Professional Counselor in Missouri

Sources for this page

Verify at the official NPI Registry.