Provider Demographics
NPI:1053207035
Name:BOWERS, COURTNEY JUNE (MSW, SWLC)
Entity type:Individual
Prefix:
First Name:COURTNEY
Middle Name:JUNE
Last Name:BOWERS
Suffix:
Gender:F
Credentials:MSW, SWLC
Other - Prefix:
Other - First Name:COURTNEY
Other - Middle Name:JUNE
Other - Last Name:WALKUP
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:284 CAPDEVILLA
Mailing Address - Street 2:
Mailing Address - City:LOLO
Mailing Address - State:MT
Mailing Address - Zip Code:59847-9612
Mailing Address - Country:US
Mailing Address - Phone:509-844-5546
Mailing Address - Fax:
Practice Address - Street 1:2831 FORT MISSOULA RD STE 203
Practice Address - Street 2:
Practice Address - City:MISSOULA
Practice Address - State:MT
Practice Address - Zip Code:59804-7479
Practice Address - Country:US
Practice Address - Phone:406-396-2336
Practice Address - Fax:406-493-1378
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-16
Last Update Date:2025-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MTBBH-SWLC-LIC-718581041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical