Doctor Name: | KRISTIN KAY MCDOWELL |
NPI Number: | 1306911656 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LMHC |
License Number: | 00839 |
Business Practice Address: | 3882 Main St Ste 1 Keokuk, IA - 526322066 |
Business Phone Number: | 3195245106 |
Business Fax Number: | 3195243090 |
Mailing Address: | 301 W Burlington Ave, FAIRFIELD |
State: | IA |
Postal Code: | 525563242 |
Phone Number: | 6414721684 |
Fax Number: | 6414724609 |
NPI Enumeration Date: | 11/22/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 00839 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |