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NPI Code Detail

MEDICARE: VALARIE BONITA DOWELL CDCA

MEDICARE: VALARIE BONITA DOWELL CDCA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YA0400XAddiction (Substance Use Disorder) CounselorCDCA.187916OH

General Provider Information

NPI Number : 1255167920
Entity Type Code : Individual
Provider Name (Legal Business Name) : VALARIE BONITA DOWELL CDCA
Provider Business Mailing Address
First Line : 108 E CLIFTON AVE APT 6
Second Line :
City : CINCINNATI
State : OH
Zip : 45202-8979
Country : US
Telephone Number : 513-570-8832
Fax Number :
Provider Business Practice Location Address
First Line : 40 E MCMICKEN AVE
Second Line :
City : CINCINNATI
State : OH
Zip : 45202-6625
Country : US
Telephone Number : 513-570-8832
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/10/2024
Last Update Date : 09/10/2024

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Directions to “ VALARIE BONITA DOWELL CDCA” Practice Location

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