Provider Demographics
NPI:1952428302
Name:DOWLEN, KIMBERLY DAY'NITRA (LPCC)
Entity type:Individual
Prefix:
First Name:KIMBERLY
Middle Name:DAY'NITRA
Last Name:DOWLEN
Suffix:
Gender:F
Credentials:LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:588 E RICH ST
Mailing Address - Street 2:SUITE C
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43215-5335
Mailing Address - Country:US
Mailing Address - Phone:614-228-7820
Mailing Address - Fax:614-228-7824
Practice Address - Street 1:588 E RICH ST
Practice Address - Street 2:SUITE C
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43215-5335
Practice Address - Country:US
Practice Address - Phone:614-228-7820
Practice Address - Fax:614-228-7824
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHE-2667101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health