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Individual
MICA DOW
Active
Individual
MICA DOW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC-S, LCDC
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
14690
TX
101YM0800X
Mental Health Counselor
Primary
72200
TX
101YP2500X
Professional Counselor
72200
TX
Other
Enumeration date
10/03/2022
Last updated
07/08/2024
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