David Allen Bowery, MA
Individual provider Active NPI Mental Health Counselor · Maysville, KY
NPI 1407984628 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1407984628
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- 0325 (KY)
- Practice address
- 611 Forest Ave
Maysville, KY 41056-1411 - Phone
- (606) 564-4016
- NPI assigned
- Mar 1, 2007
- 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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0325 | KY | MD | Mental Health Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 0325 | KY | Yes |
Addresses
Primary practice location
611 Forest Ave
Maysville, KY 41056-1411
Mailing address
611 Forest Ave
Maysville, KY 41056-1411
Phone (606) 564-4016
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30608012 | Medicaid | KY |
Other providers in Maysville, KY
- Bluegrass Nephrology, PSC
- Henry Clay Boone
- Regina Borders
- Evan Bothman
- Susan Boulden
- Adam Charles Bradley
- Lathe Brady
- Stephanie M Brashear
- Casey Lynn Breeze
- Karen Brooks
All providers in Maysville, KY · Mental Health Counselor in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. 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.