Provider Demographics
NPI:1164530283
Name:LOWRY, DIANA JEAN (LMHC)
Entity Type:Individual
Prefix:MRS
First Name:DIANA
Middle Name:JEAN
Last Name:LOWRY
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1220 MEMORIAL HWY
Mailing Address - Street 2:
Mailing Address - City:MOUNT VERNON
Mailing Address - State:WA
Mailing Address - Zip Code:98273-3209
Mailing Address - Country:US
Mailing Address - Phone:360-419-3600
Mailing Address - Fax:360-419-3605
Practice Address - Street 1:1220 MEMORIAL HWY
Practice Address - Street 2:
Practice Address - City:MOUNT VERNON
Practice Address - State:WA
Practice Address - Zip Code:98273-3209
Practice Address - Country:US
Practice Address - Phone:360-419-3600
Practice Address - Fax:360-419-3605
Is Sole Proprietor?:No
Enumeration Date:2006-08-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA3268101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health