Individual
MICHAEL DOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CADC
Contact information
Practice address
2084 MAIN ST, WILLISBURG, KY 40078-8199
(859) 375-9200
(859) 375-9202
Mailing address
PO BOX 188, WILLISBURG, KY 40078-0188
(859) 375-9200
(859) 375-9202
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
0026
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0026
CERTIFIED ALCOHOL AND DRUG COUNSELOR
KY
01
—
80486
SUBSTANCE ABUSE PROFESSIONAL
KY
Enumeration date
10/23/2015
Last updated
10/23/2015
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