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MR. KENNETH RAY BOWLING IMF

Mental Health >> Counselor >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1538202023

Individual Registrant:
MR. KENNETH RAY BOWLING IMF
Gender: M
Sole Proprietor

Location and contact information for practice:
68615 PEREZ RD  CATHEDRAL CITY, CA 92234-7200 US
Tel: 760-770-2286  Fax: --

Contact information for business:
68615 PEREZ ROAD  CATHEDRAL CITY, CA 92234-7200 US
Tel: 760-770-2286  Fax: --

Registration Information:
NPI: 1538202023
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y101YM0800XBehavioral Health & Social Service Providers
Counselor
Mental Health
CAIMF 76911

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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