Provider Demographics
NPI:1609427848
Name:DOWLING, CHELSEA HOPE (LPC, CADC)
Entity Type:Individual
Prefix:
First Name:CHELSEA
Middle Name:HOPE
Last Name:DOWLING
Suffix:
Gender:F
Credentials:LPC, CADC
Other - Prefix:
Other - First Name:CHELSEA
Other - Middle Name:HOPE
Other - Last Name:PATES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPC, CADC
Mailing Address - Street 1:310 W CHICAGO AVE
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60654-5106
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:310 W CHICAGO AVE
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60654-5106
Practice Address - Country:US
Practice Address - Phone:312-943-6545
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-09-27
Last Update Date:2020-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL35353101YA0400X
IL178.014406101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)