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General NPI Number Information
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NPI Number | 1366962409
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Entity Type | Organization
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Legal Business Name | DOWLING COUNSELING SERVICES, LLC
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Dates
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Enumeration Date | 06/20/2017
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Last Update Date | 04/24/2023
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Provider Practice Location Address
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Address Line | 4021 VERNON AVE S
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City | ST LOUIS PARK
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State | MN
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Zip | 55416-2801
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Country | US
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Telephone | 612-360-3843
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Fax | 952-929-4581
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Provider Business Mailing Address
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Address Line | 500 CEDAR LAKE RD S
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City | MINNEAPOLIS
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State | MN
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Zip | 55405-1903
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Country | US
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Telephone | 612-360-3843
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MATTHEW DOWLING
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Credential |
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Telephone | 612-360-3843
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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 |
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License Number State |
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