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NPI Code Detail

MEDICARE: DAWN SOWELL PCLC

MEDICARE: DAWN SOWELL PCLC
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
1101Y00000XCounselorBBH-PCLC-LIC-63603MT

General Provider Information

NPI Number : 1760168199
Entity Type Code : Individual
Provider Name (Legal Business Name) : DAWN SOWELL PCLC
Provider Business Mailing Address
First Line : 1013 S BOZEMAN AVE APT 3
Second Line :
City : BOZEMAN
State : MT
Zip : 59715-5385
Country : US
Telephone Number : 406-579-9372
Fax Number :
Provider Business Practice Location Address
First Line : 950 STONERIDGE DR STE 1
Second Line :
City : BOZEMAN
State : MT
Zip : 59718-7063
Country : US
Telephone Number : 406-624-6007
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/22/2023
Last Update Date : 03/09/2026

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Directions to “ DAWN SOWELL PCLC” Practice Location

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