Provider Demographics
NPI:1366756488
Name:DOWLING, KATHERINE (MED, LCPC/C, NCC)
Entity type:Individual
Prefix:
First Name:KATHERINE
Middle Name:
Last Name:DOWLING
Suffix:
Gender:F
Credentials:MED, LCPC/C, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:114 MAINE ST STE 9
Mailing Address - Street 2:
Mailing Address - City:BRUNSWICK
Mailing Address - State:ME
Mailing Address - Zip Code:04011-2029
Mailing Address - Country:US
Mailing Address - Phone:207-751-5909
Mailing Address - Fax:
Practice Address - Street 1:114 MAINE ST STE 9
Practice Address - Street 2:
Practice Address - City:BRUNSWICK
Practice Address - State:ME
Practice Address - Zip Code:04011-2029
Practice Address - Country:US
Practice Address - Phone:207-751-5909
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-07-30
Last Update Date:2010-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MEXL3658101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional