Provider Demographics
NPI:1538803895
Name:MCDOWELL, ALESHA MARIE
Entity type:Individual
Prefix:
First Name:ALESHA
Middle Name:MARIE
Last Name:MCDOWELL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:272 AUDLEY AVE APT B-13
Mailing Address - Street 2:
Mailing Address - City:BOWLING GREEN
Mailing Address - State:KY
Mailing Address - Zip Code:42101-4515
Mailing Address - Country:US
Mailing Address - Phone:502-601-6460
Mailing Address - Fax:
Practice Address - Street 1:272 AUDLEY AVE APT B-13
Practice Address - Street 2:
Practice Address - City:BOWLING GREEN
Practice Address - State:KY
Practice Address - Zip Code:42101-4515
Practice Address - Country:US
Practice Address - Phone:502-601-6460
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-04-22
Last Update Date:2022-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)