Jacqueline C Bowerman, LPCC | |
675 Bartson Rd, Fremont, OH 43420-9672 | |
(419) 335-3325 | |
(419) 332-7581 |
Full Name | Jacqueline C Bowerman |
---|---|
Gender | Female |
Speciality | Counselor - Professional |
Location | 675 Bartson Rd, Fremont, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1720328586 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | E.0900137 (Ohio) | Primary |
Entity Name | Counseling Source Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1639438518 PECOS PAC ID: 6709772387 Enrollment ID: O20170607001140 |
Mailing Address | Practice Location Address |
---|---|
Jacqueline C Bowerman, LPCC 1925 Hayes Ave, Sandusky, OH 44870-4737 Ph: (419) 557-5177 | Jacqueline C Bowerman, LPCC 675 Bartson Rd, Fremont, OH 43420-9672 Ph: (419) 335-3325 |
Tammy Jo Broshious, CDCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 512 E State St, Fremont, OH 43420 Phone: 419-334-3431 Fax: 419-334-4230 | |
Kjirsten Corson, LICDC Counselor Medicare: Not Enrolled in Medicare Practice Location: 103 S Front St, Fremont, OH 43420 Phone: 567-280-4023 Fax: 567-201-2669 | |
Mariah Elizabeth Strayer, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 675 Bartson Rd, Fremont, OH 43420 Phone: 419-332-5524 | |
Mr. Christopher Juan Jordan, LPCC-S Counselor Medicare: Not Enrolled in Medicare Practice Location: 2575 Hayes Ave, Fremont, OH 43420 Phone: 567-280-9435 | |
Stephanie Johnson, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 103 S Front St, Fremont, OH 43420 Phone: 567-280-4023 | |
Bryana Miller, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 915 Croghan St, Fremont, OH 43420 Phone: 419-458-3100 Fax: 567-250-2152 | |
Mrs. Robin Elizabeth Stull, LPCC-S Counselor Medicare: Not Enrolled in Medicare Practice Location: 2228 Hayes Ave Ste D, Fremont, OH 43420 Phone: 419-635-6624 |