Provider Demographics
NPI:1962826974
Name:BOWMAN, WESLEY MARSHALL (MSED, LPC)
Entity Type:Individual
Prefix:MR
First Name:WESLEY
Middle Name:MARSHALL
Last Name:BOWMAN
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Gender:M
Credentials:MSED, LPC
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Mailing Address - Street 1:1182 GRAVES AVE UNIT C
Mailing Address - Street 2:SUITE #2
Mailing Address - City:ESTES PARK
Mailing Address - State:CO
Mailing Address - Zip Code:80517-7742
Mailing Address - Country:US
Mailing Address - Phone:970-238-0268
Mailing Address - Fax:970-692-2594
Practice Address - Street 1:1182 GRAVES AVE UNIT C
Practice Address - Street 2:SUITE #2
Practice Address - City:ESTES PARK
Practice Address - State:CO
Practice Address - Zip Code:80517-7742
Practice Address - Country:US
Practice Address - Phone:970-238-0268
Practice Address - Fax:970-692-2594
Is Sole Proprietor?:Yes
Enumeration Date:2014-02-11
Last Update Date:2016-06-27
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
COLPC.0012110101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health