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General NPI Number Information
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NPI Number | 1184070195
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Entity Type | Individual
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Provider Name | CRYSTAL LEANN MCDOWELL LCMHC
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Gender | Female
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Dates
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Enumeration Date | 05/09/2016
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Last Update Date | 01/13/2026
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Provider Practice Location Address
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Address Line | 7006 SHANNON WILLOW RD STE A
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City | CHARLOTTE
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State | NC
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Zip | 28226-1318
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Country | US
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Telephone | 980-960-0526
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Fax |
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Provider Business Mailing Address
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Address Line | 3355 LENOX RD NE STE 750
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City | ATLANTA
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State | GA
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Zip | 30326-1353
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Country | US
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Telephone | 678-561-6799
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | LPC10365
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License Number State | SC
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 12182
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License Number State | NC
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Taxonomy #3
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | LPC012144
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License Number State | GA
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