Provider Demographics
NPI:1881768968
Name:DOWLING, JOHN (LPCMH, CADC)
Entity type:Individual
Prefix:
First Name:JOHN
Middle Name:
Last Name:DOWLING
Suffix:
Gender:M
Credentials:LPCMH, CADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:500 WEST 10TH ST
Mailing Address - Street 2:CONNECTIONS COMMUNITY SUPPORT PROGRAMS, INC.
Mailing Address - City:WILMINGTON
Mailing Address - State:DE
Mailing Address - Zip Code:19801
Mailing Address - Country:US
Mailing Address - Phone:302-736-6135
Mailing Address - Fax:302-736-0172
Practice Address - Street 1:500 WEST 10TH ST
Practice Address - Street 2:CONNECTIONS COMMUNITY SUPPORT PROGRAMS, INC.
Practice Address - City:WILMINGTON
Practice Address - State:DE
Practice Address - Zip Code:19801
Practice Address - Country:US
Practice Address - Phone:302-736-6135
Practice Address - Fax:302-736-0172
Is Sole Proprietor?:No
Enumeration Date:2006-11-20
Last Update Date:2013-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEPC0000010101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
DE1000022249Medicaid