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NPI Code Detail

MEDICARE: MR. CHRISTIAN TOMAS BOWN LMHC

MEDICARE:  MR. CHRISTIAN TOMAS BOWN  LMHC
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
1101YM0800XMental Health Counselor0103351NM
2101YM0800XMental Health Counselor0142501NM

General Provider Information

NPI Number : 1336346592
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. CHRISTIAN TOMAS BOWN LMHC
Provider Business Mailing Address
First Line : 4910 NICHOLAS PL
Second Line : C
City : SANTA FE
State : NM
Zip : 87507-9036
Country : US
Telephone Number : 219-588-0035
Fax Number :
Provider Business Practice Location Address
First Line : 1025 HERMOSA DR SE
Second Line :
City : ALBUQUERQUE
State : NM
Zip : 87108-4312
Country : US
Telephone Number : 505-237-0061
Fax Number : 505-237-0068
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/29/2007
Last Update Date : 01/30/2012

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Directions to “ MR. CHRISTIAN TOMAS BOWN LMHC” Practice Location

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