MEDICARE: TAMARA R MCDOWELL

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor	5128-125	WI

General Provider Information

NPI Number	:	1578108569
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TAMARA R MCDOWELL

Provider Business Mailing Address
First Line	:	227 WILDFIRE LN
Second Line	:
City	:	MILTON
State	:	WI
Zip	:	53563-1696
Country	:	US
Telephone Number	:	608-774-8801
Fax Number	:

Provider Business Practice Location Address
First Line	:	23 N MAIN ST
Second Line	:
City	:	JANESVILLE
State	:	WI
Zip	:	53545-3039
Country	:	US
Telephone Number	:	608-618-5560
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/13/2019
Last Update Date	:	04/28/2026

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Directions to “ TAMARA R MCDOWELL ” Practice Location

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