MEDICARE: SARAH DOWNES PCC-S

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
1	101YM0800X	Mental Health Counselor	E.0900633-SUPV	OH

General Provider Information

NPI Number	:	1861944530
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SARAH DOWNES PCC-S

Provider Business Mailing Address
First Line	:	256 POPLAR ST NW
Second Line	:
City	:	BOLIVAR
State	:	OH
Zip	:	44612-9209
Country	:	US
Telephone Number	:	614-610-1396
Fax Number	:

Provider Business Practice Location Address
First Line	:	256 POPLAR ST NW
Second Line	:
City	:	BOLIVAR
State	:	OH
Zip	:	44612-9209
Country	:	US
Telephone Number	:	614-610-1396
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/28/2016
Last Update Date	:	11/03/2025

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Directions to “ SARAH DOWNES PCC-S” Practice Location

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