NPI 1811064090 · live from the CMS NPI Registry
Brent L Bowen, MBA, MS, CFE, LMFT
Marriage & Family Therapist in Fairfax, VA. National Provider Identifier 1811064090, active.
NPI record
| NPI | 1811064090 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Marriage & Family Therapist 106H00000X |
| Practice location | 10605 Judicial Dr, Building A-4, Fairfax, VA 22030 |
| Practice phone | 703-273-6065 |
| Enumerated | November 30, 2006 |
| Last updated | July 8, 2007 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Marriage & Family Therapist primary | 106H00000X | 0717001094 (VA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.