Brenda Dow, Ph.D, M.A., CDC1
Counselor, Mental Health in Fairbanks, AK. Individual provider (NPI-1).
NPI number1982289005
StatusActive
Last updated in NPPESMar 10, 2021
Details
- NPI
- 1982289005
- Entity type
- Individual (NPI-1)
- Name
- Brenda Dow
- Credential
- Ph.D, M.A., CDC1
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 10, 2021
- Certification date
- Mar 10, 2021
- Last updated
- Mar 10, 2021
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | – | – | Yes |
Practice location
209 Forty Mile AveFairbanks, AK 99701-3110
Phone 907-456-6445
Mailing address
209 Forty Mile AveFairbanks, AK 99701-3110
Phone 907-456-6445
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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