Provider Demographics
NPI:1346798246
Name:DOWSON, VIRGINIA (MA, CCS, ICADC, LBSW)
Entity Type:Individual
Prefix:
First Name:VIRGINIA
Middle Name:
Last Name:DOWSON
Suffix:
Gender:F
Credentials:MA, CCS, ICADC, LBSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:32969 HAMILTON CT
Mailing Address - Street 2:SUITE 100
Mailing Address - City:FARMINGTON HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48334-3351
Mailing Address - Country:US
Mailing Address - Phone:248-324-9744
Mailing Address - Fax:248-324-9755
Practice Address - Street 1:32969 HAMILTON CT
Practice Address - Street 2:SUITE 100
Practice Address - City:FARMINGTON HILLS
Practice Address - State:MI
Practice Address - Zip Code:48334-3351
Practice Address - Country:US
Practice Address - Phone:248-324-9744
Practice Address - Fax:248-324-9755
Is Sole Proprietor?:Yes
Enumeration Date:2016-09-20
Last Update Date:2016-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MISA0631233101YA0400X
MI6802068534104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No104100000XBehavioral Health & Social Service ProvidersSocial Worker