Provider Demographics
NPI:1679997225
Name:DOWNS, KEVIN CHADBOURNE (LPCI, CACP)
Entity Type:Individual
Prefix:MR
First Name:KEVIN
Middle Name:CHADBOURNE
Last Name:DOWNS
Suffix:
Gender:M
Credentials:LPCI, CACP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:215 E BAY ST
Mailing Address - Street 2:SUITE 201-D
Mailing Address - City:CHARLESTON
Mailing Address - State:SC
Mailing Address - Zip Code:29401-2633
Mailing Address - Country:US
Mailing Address - Phone:843-469-5489
Mailing Address - Fax:843-723-8002
Practice Address - Street 1:215 E BAY ST
Practice Address - Street 2:SUITE 201-D
Practice Address - City:CHARLESTON
Practice Address - State:SC
Practice Address - Zip Code:29401-2633
Practice Address - Country:US
Practice Address - Phone:843-469-5489
Practice Address - Fax:843-723-8002
Is Sole Proprietor?:Yes
Enumeration Date:2014-02-18
Last Update Date:2014-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC5517101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional