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General NPI Number Information
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NPI Number | 1609675206
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Entity Type | Organization
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Legal Business Name | DOWDELL'S WELLBEING LLC
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Dates
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Enumeration Date | 03/07/2025
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Last Update Date | 03/07/2025
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Provider Practice Location Address
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Address Line | 207 N LIBERTY ST
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City | CENTREVILLE
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State | MD
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Zip | 21617-1189
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Country | US
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Telephone | 443-667-2489
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Fax |
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Provider Business Mailing Address
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Address Line | 101 WILLIAM ROSS LN
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City | SEAFORD
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State | DE
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Zip | 19973-5774
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Country | US
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Telephone | 406-750-4466
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Fax |
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Authorized Official
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Title or Position | THERAPIST
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Name | KELLY H DOWDELL
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Credential | LCPC
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Telephone | 406-750-4466
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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