Provider Demographics
NPI:1164632204
Name:DOWELL, ASHLEY ANNE (LPC, MFT)
Entity type:Individual
Prefix:
First Name:ASHLEY
Middle Name:ANNE
Last Name:DOWELL
Suffix:
Gender:F
Credentials:LPC, MFT
Other - Prefix:
Other - First Name:ASHLEY
Other - Middle Name:ANNE
Other - Last Name:DIXON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA
Mailing Address - Street 1:8601 W EMERALD ST STE 150
Mailing Address - Street 2:
Mailing Address - City:BOISE
Mailing Address - State:ID
Mailing Address - Zip Code:83704-4841
Mailing Address - Country:US
Mailing Address - Phone:208-321-0634
Mailing Address - Fax:
Practice Address - Street 1:8601 W EMERALD ST STE 150
Practice Address - Street 2:
Practice Address - City:BOISE
Practice Address - State:ID
Practice Address - Zip Code:83704-4841
Practice Address - Country:US
Practice Address - Phone:208-321-0634
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-23
Last Update Date:2007-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IDLPC-3949101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional