Provider Demographics
NPI:1891055927
Name:DOWELL, YVONNE LYNN (LCADC)
Entity Type:Individual
Prefix:MS
First Name:YVONNE
Middle Name:LYNN
Last Name:DOWELL
Suffix:
Gender:F
Credentials:LCADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2538 PARK HEIGHTS TER
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21215-7005
Mailing Address - Country:US
Mailing Address - Phone:410-608-5564
Mailing Address - Fax:
Practice Address - Street 1:2538 PARK HEIGHTS TER
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21215-7005
Practice Address - Country:US
Practice Address - Phone:410-608-5564
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-05-23
Last Update Date:2012-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDLCA1596101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor