Bowen, Brent L
Bowen, Brent L is an sole proprietor health care provider with primary practice located at 10605 Judicial Dr Building A-4, Fairfax VA 22030-5167. He recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as his primary health care specialty. Bowen, Brent L can be contacted via phone (703) 273-6065.Contact Information
Primary practice address
10605 Judicial Dr Building A-4
Fairfax VA 22030-5167
Phone: (703) 273-6065
Fax: (703) 273-8046
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Marriage & Family Therapist | 106H00000X | 0717001094 | Virginia |
Profile Details
NPI number | 1811064090 |
---|---|
LBN Legal business name | Bowen, Brent L |
Credentials | MBA, MS, CFE, LMFT |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Nov 30th, 2006 |
Last updated | Jul 8th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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