Provider Demographics
NPI:1023678547
Name:DOWDING, CRYSTAL MARIE (LMSW)
Entity type:Individual
Prefix:MRS
First Name:CRYSTAL
Middle Name:MARIE
Last Name:DOWDING
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:MS
Other - First Name:CRYSTAL
Other - Middle Name:MARIE
Other - Last Name:HAIGH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:18720 16 MILE RD
Mailing Address - Street 2:
Mailing Address - City:MARSHALL
Mailing Address - State:MI
Mailing Address - Zip Code:49068-9436
Mailing Address - Country:US
Mailing Address - Phone:269-760-5425
Mailing Address - Fax:
Practice Address - Street 1:18720 16 MILE RD
Practice Address - Street 2:
Practice Address - City:MARSHALL
Practice Address - State:MI
Practice Address - Zip Code:49068-9436
Practice Address - Country:US
Practice Address - Phone:269-760-5425
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-06-17
Last Update Date:2019-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI680108099091041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical