Provider Demographics
NPI:1164633962
Name:LOWTHER, JEANNE T (ACSW, LCSW, DCSW)
Entity Type:Individual
Prefix:MS
First Name:JEANNE
Middle Name:T
Last Name:LOWTHER
Suffix:
Gender:F
Credentials:ACSW, LCSW, DCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4406 PARLIAMENT DR
Mailing Address - Street 2:#160
Mailing Address - City:ALEXANDRIA
Mailing Address - State:LA
Mailing Address - Zip Code:71303-2785
Mailing Address - Country:US
Mailing Address - Phone:318-445-9904
Mailing Address - Fax:
Practice Address - Street 1:4406 PARLIAMENT DR
Practice Address - Street 2:#160
Practice Address - City:ALEXANDRIA
Practice Address - State:LA
Practice Address - Zip Code:71303-2785
Practice Address - Country:US
Practice Address - Phone:318-445-9904
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-24
Last Update Date:2008-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI68010719171041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical