Provider Demographics
NPI:1386292746
Name:BOWEN, CHRISTINE ESHLEMAN (LMSW-CC)
Entity type:Individual
Prefix:
First Name:CHRISTINE
Middle Name:ESHLEMAN
Last Name:BOWEN
Suffix:
Gender:F
Credentials:LMSW-CC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:67 PENN RD
Mailing Address - Street 2:
Mailing Address - City:NORWAY
Mailing Address - State:ME
Mailing Address - Zip Code:04268-5051
Mailing Address - Country:US
Mailing Address - Phone:207-890-0631
Mailing Address - Fax:
Practice Address - Street 1:150 CONGRESS ST
Practice Address - Street 2:
Practice Address - City:RUMFORD
Practice Address - State:ME
Practice Address - Zip Code:04276-2035
Practice Address - Country:US
Practice Address - Phone:207-364-3549
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-08-29
Last Update Date:2019-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MEMC167951041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical