Healthcare Provider Details

I. General information

NPI: 1982162517
Provider Name (Legal Business Name): MRS. ASHTON BROOK DOWDING
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/02/2019
Last Update Date: 01/22/2025
Certification Date: 01/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

530 KINGS COUNTY DR
HANFORD CA
93230-3579
US

IV. Provider business mailing address

1 KINGS WAY
AVENAL CA
93204-9708
US

V. Phone/Fax

Practice location:
  • Phone: 559-583-7800
  • Fax:
Mailing address:
  • Phone: 559-386-0587
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number105335
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number105335
License Number StateCA
# 4
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number128030
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: