Provider Demographics
NPI:1780885707
Name:BOWE, RICHARD JOSEPH (LPC , LCADC)
Entity type:Individual
Prefix:MR
First Name:RICHARD
Middle Name:JOSEPH
Last Name:BOWE
Suffix:
Gender:M
Credentials:LPC , LCADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1200 TICES LN
Mailing Address - Street 2:SUITE 104
Mailing Address - City:EAST BRUNSWICK
Mailing Address - State:NJ
Mailing Address - Zip Code:08816-1335
Mailing Address - Country:US
Mailing Address - Phone:732-673-7138
Mailing Address - Fax:732-249-1559
Practice Address - Street 1:10 AUER CT
Practice Address - Street 2:SUITE F- WILLIAMSBURG COMMONS
Practice Address - City:EAST BRUNSWICK
Practice Address - State:NJ
Practice Address - Zip Code:08816-5848
Practice Address - Country:US
Practice Address - Phone:732-673-7138
Practice Address - Fax:732-249-1559
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37LC00047400101YA0400X
NJ37PC00069600101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Not Answered101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ11699761OtherCAQH# NATIONAL