Provider Demographics
NPI:1649409376
Name:BOWEN, JAMES L JR (MA)
Entity Type:Individual
Prefix:MR
First Name:JAMES
Middle Name:L
Last Name:BOWEN
Suffix:JR
Gender:M
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1430 LARIMER ST
Mailing Address - Street 2:SUITE 301
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80202-1739
Mailing Address - Country:US
Mailing Address - Phone:303-534-8717
Mailing Address - Fax:
Practice Address - Street 1:1430 LARIMER ST
Practice Address - Street 2:SUITE 301
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80202-1739
Practice Address - Country:US
Practice Address - Phone:303-534-8717
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-07-01
Last Update Date:2009-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO1373101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health