MEDICARE: DARIUS BOWEN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1174105944
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DARIUS BOWEN

Provider Business Mailing Address
First Line	:	2028 W FAYETTE ST
Second Line	:
City	:	BALTIMORE
State	:	MD
Zip	:	21223-1528
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2000 P ST NW STE 200
Second Line	:
City	:	WASHINGTON
State	:	DC
Zip	:	20036-6924
Country	:	US
Telephone Number	:	443-415-2328
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/22/2021
Last Update Date	:	04/22/2021

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Directions to “ DARIUS BOWEN ” Practice Location

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