# MADDISON MARIE DOW

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1972129906
- **Gender:** F

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | 178.016039 | IL | Yes |

## Other

- **Enumeration date:** 06/25/2020
- **Last updated:** 08/12/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 90791 | NON-MEDICARE | IL |
| 01 | — | 90834 | NON-MEDICARE | IL |
| 01 | — | 90837 | NON-MEDICARE | IL |
| 01 | — | 90839 | NON-MEDICARE | IL |
| 01 | — | 90846 | NON-MEDICARE | IL |
| 01 | — | 90847 | NON-MEDICARE | IL |