| Jacqueline C Bowerman, LPCC | |
|
675 Bartson Rd, Fremont, OH 43420-9672 | |
| (419) 335-3325 | |
| (419) 332-7581 |
| Full Name | Jacqueline C Bowerman |
|---|---|
| Gender | Female |
| Speciality | Mental Health Counselor |
| Experience | 16 Years |
| Location | 675 Bartson Rd, Fremont, Ohio |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720328586 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | E.0900137 (Ohio) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Counseling Source Inc | 6709772387 | 47 |
| Entity Name | Counseling Source Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1639438518 PECOS PAC ID: 6709772387 Enrollment ID: O20170607001140 |
| Mailing Address | Practice Location Address |
|---|---|
| Jacqueline C Bowerman, LPCC 1925 Hayes Ave, Sandusky, OH 44870-4737 Ph: (419) 557-5177 | Jacqueline C Bowerman, LPCC 675 Bartson Rd, Fremont, OH 43420-9672 Ph: (419) 335-3325 |
Tammy Jo Broshious, CDCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 512 E State St, Fremont, OH 43420 Phone: 419-334-3431 Fax: 419-334-4230 | |
Kjirsten Corson, LICDC Counselor Medicare: Not Enrolled in Medicare Practice Location: 103 S Front St, Fremont, OH 43420 Phone: 567-280-4023 Fax: 567-201-2669 | |
Mariah Elizabeth Strayer, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 675 Bartson Rd, Fremont, OH 43420 Phone: 419-332-5524 | |
Mr. Christopher Juan Jordan, LPCC-S Counselor Medicare: Not Enrolled in Medicare Practice Location: 2575 Hayes Ave, Fremont, OH 43420 Phone: 567-280-9435 | |
Stephanie Johnson, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 103 S Front St, Fremont, OH 43420 Phone: 567-280-4023 | |
Bryana Miller, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 915 Croghan St, Fremont, OH 43420 Phone: 419-458-3100 Fax: 567-250-2152 | |
Mrs. Robin Elizabeth Stull, LPCC-S Counselor Medicare: Not Enrolled in Medicare Practice Location: 410 Birchard Ave Fl 2, Fremont, OH 43420 Phone: 419-635-6624 |