Provider Demographics
NPI:1699812727
Name:DOWERS, AMBER M (MS, LCPC)
Entity Type:Individual
Prefix:MRS
First Name:AMBER
Middle Name:M
Last Name:DOWERS
Suffix:
Gender:F
Credentials:MS, LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1306 E RIDGEFIELD DR
Mailing Address - Street 2:
Mailing Address - City:MAHOMET
Mailing Address - State:IL
Mailing Address - Zip Code:61853-7629
Mailing Address - Country:US
Mailing Address - Phone:309-310-9497
Mailing Address - Fax:
Practice Address - Street 1:1002 S RACE ST
Practice Address - Street 2:
Practice Address - City:URBANA
Practice Address - State:IL
Practice Address - Zip Code:61801-4957
Practice Address - Country:US
Practice Address - Phone:217-239-4220
Practice Address - Fax:217-239-7396
Is Sole Proprietor?:No
Enumeration Date:2007-01-30
Last Update Date:2008-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL180.006673101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health