Provider Demographics
NPI:1467507806
Name:MCDOWELL, WALTER FRANKLIN (LPC)
Entity Type:Individual
Prefix:
First Name:WALTER
Middle Name:FRANKLIN
Last Name:MCDOWELL
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:229 E COLLEGE ST
Mailing Address - Street 2:SUITE C
Mailing Address - City:GRIFFIN
Mailing Address - State:GA
Mailing Address - Zip Code:30224-4366
Mailing Address - Country:US
Mailing Address - Phone:770-227-0051
Mailing Address - Fax:770-227-1854
Practice Address - Street 1:229 E COLLEGE ST
Practice Address - Street 2:SUITE C
Practice Address - City:GRIFFIN
Practice Address - State:GA
Practice Address - Zip Code:30224-4366
Practice Address - Country:US
Practice Address - Phone:770-227-0051
Practice Address - Fax:770-227-1854
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA3081101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional