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General NPI Number Information
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NPI Number | 1689440364
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Entity Type | Organization
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Legal Business Name | DOWD PSYCHOTHERAPY LLC
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Dates
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Enumeration Date | 12/04/2023
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Last Update Date | 01/09/2024
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Provider Practice Location Address
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Address Line | 4049 PENNSYLVANIA AVE STE 203 PMB1100
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City | KANSAS CITY
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State | MO
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Zip | 64111-3022
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Country | US
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Telephone | 872-588-0153
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Fax |
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Provider Business Mailing Address
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Address Line | 4049 PENNSYLVANIA AVE STE 230 PMB1100
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City | KANSAS CITY
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State | MO
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Zip | 64111-3085
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Country | US
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Telephone | 872-588-0153
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Fax |
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Authorized Official
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Title or Position | PSYCHOTHERAPIST
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Name | ALISON DOWD
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Credential | LCPC, LPC
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Telephone | 872-588-0153
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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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