Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Russell William Bowman, LAC

Individual provider Professional Counselor · NPI 1154200863

Russell William Bowman, LAC is a Professional Counselor in Phoenix, Arizona. Licensed in Arizona. Registered with an NPI since 2025.

Licensed in
AZ
In the registry since
2025
What do these letters mean?
LAC — Licensed Associate Counselor
A counsellor practising under supervision toward full licensure. In some states the same letters mean Licensed Acupuncturist.

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Practice location Address checks out

11225 N 28th Dr Ste D220C
Phoenix, AZ 85029-5697
Phone: (480) 680-1240
Fax: (480) 680-1245
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence LAC-23376 (AZ)

Record details

NPI number1154200863
Entity typeIndividual (Type 1)
GenderMale
Credentials LAC
Sole proprietorNo
NPI enumeratedAugust 27, 2025
Last updated in NPPESAugust 27, 2025
Certification dateAugust 27, 2025

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