Provider Demographics
NPI:1376079897
Name:GARROW, JOANNE C (LMSW, CAADC)
Entity Type:Individual
Prefix:MS
First Name:JOANNE
Middle Name:C
Last Name:GARROW
Suffix:
Gender:F
Credentials:LMSW, CAADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1025 W WASHINGTON ST STE B
Mailing Address - Street 2:
Mailing Address - City:MARQUETTE
Mailing Address - State:MI
Mailing Address - Zip Code:49855-4031
Mailing Address - Country:US
Mailing Address - Phone:906-256-2951
Mailing Address - Fax:906-629-6334
Practice Address - Street 1:1025 W WASHINGTON ST STE B
Practice Address - Street 2:
Practice Address - City:MARQUETTE
Practice Address - State:MI
Practice Address - Zip Code:49855-4031
Practice Address - Country:US
Practice Address - Phone:906-256-2951
Practice Address - Fax:906-629-6334
Is Sole Proprietor?:Yes
Enumeration Date:2017-05-03
Last Update Date:2024-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YA0400X, 1041C0700X
MI68011058431041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)