Doctor Name: | MS. KATHY SOWDER |
NPI Number: | 1023094067 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPCC, CCDC, III E |
License Number: | E0000363 |
Business Practice Address: | 7086 Corporate Way Centerville, OH - 454594224 |
Business Phone Number: | 9374355200 |
Business Fax Number: | 9374355200 |
Mailing Address: | 7086 Corporate Way, CENTERVILLE |
State: | OH |
Postal Code: | 454594224 |
Phone Number: | 9374355200 |
Fax Number: | 9374355200 |
NPI Enumeration Date: | 12/21/2005 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | E0000363 |
Healthcare Provider Taxonomy: (Secondary) | X |
State: | OH |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |