Provider Demographics
NPI:1427799873
Name:DOWD, SARAH (LPC)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:
Last Name:DOWD
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 398
Mailing Address - Street 2:
Mailing Address - City:SOUTH RANGE
Mailing Address - State:MI
Mailing Address - Zip Code:49963-0398
Mailing Address - Country:US
Mailing Address - Phone:610-858-2636
Mailing Address - Fax:
Practice Address - Street 1:46 BALTIC AVE UNIT 4
Practice Address - Street 2:
Practice Address - City:SOUTH RANGE
Practice Address - State:MI
Practice Address - Zip Code:49963-5003
Practice Address - Country:US
Practice Address - Phone:610-858-2636
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-04-07
Last Update Date:2022-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6401020338101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor