Provider Demographics
NPI:1346491214
Name:ROWE, LEONARD EDWARD (LPC)
Entity Type:Individual
Prefix:MR
First Name:LEONARD
Middle Name:EDWARD
Last Name:ROWE
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:551 LINN ST
Mailing Address - Street 2:SUITE 230 PSYCHOLOGICAL MEDICINE
Mailing Address - City:ALLEGAN
Mailing Address - State:MI
Mailing Address - Zip Code:49010-1591
Mailing Address - Country:US
Mailing Address - Phone:269-686-4104
Mailing Address - Fax:269-686-2135
Practice Address - Street 1:551 LINN ST
Practice Address - Street 2:SUITE 230 PSYCHOLOGICAL MEDICINE
Practice Address - City:ALLEGAN
Practice Address - State:MI
Practice Address - Zip Code:49010-1591
Practice Address - Country:US
Practice Address - Phone:269-686-4104
Practice Address - Fax:269-686-2135
Is Sole Proprietor?:No
Enumeration Date:2008-10-09
Last Update Date:2008-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MIL1356623101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional