SCOTTY BOWMAN

UKIAH, CA
NPI1538533351
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA  R119620115)
Enumeration Date2015-11-17
Last Update Date2016-07-11
Business Address
-- SCOTTY BOWMAN
1120 S DORA ST
UKIAH, CA 95482-6340
Phone number: 707-472-2300
Mailing Address
-- SCOTTY BOWMAN
1120 S DORA ST
UKIAH, CA 95482-6340
Phone number: 707-472-2300