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NPI Code Detail

MEDICARE: SHERI BOWDEN ACMHC

MEDICARE:   SHERI  BOWDEN  ACMHC
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 Counselor8675602-6009UT

General Provider Information

NPI Number : 1780069039
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHERI BOWDEN ACMHC
Provider Business Mailing Address
First Line : 3709 E BROCKBANK DR
Second Line :
City : MILLCREEK
State : UT
Zip : 84124-3907
Country : US
Telephone Number : 801-231-9935
Fax Number :
Provider Business Practice Location Address
First Line : 4578 S HIGHLAND DR STE 320
Second Line :
City : MILLCREEK
State : UT
Zip : 84117-4214
Country : US
Telephone Number : 801-231-9935
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/29/2015
Last Update Date : 09/22/2020

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Directions to “ SHERI BOWDEN ACMHC” Practice Location

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