Individual
RANDY GENE DOWDELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.A.
Contact information
Practice address
323 W MULBERRY ST, WATSEKA, IL 60970-1568
(815) 432-5241
Mailing address
323 W MULBERRY ST, P.O BOX 322, WATSEKA, IL 60970-1568
(815) 432-5241
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
04/04/2007
Last updated
07/08/2007
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