Provider Demographics
NPI:1407342231
Name:HOWE, JENNY (MS, CMHC EXTERN)
Entity Type:Individual
Prefix:
First Name:JENNY
Middle Name:
Last Name:HOWE
Suffix:
Gender:F
Credentials:MS, CMHC EXTERN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3327 N FALCON WAY
Mailing Address - Street 2:
Mailing Address - City:LAYTON
Mailing Address - State:UT
Mailing Address - Zip Code:84040-4919
Mailing Address - Country:US
Mailing Address - Phone:385-888-0030
Mailing Address - Fax:
Practice Address - Street 1:120 S MAIN ST
Practice Address - Street 2:
Practice Address - City:KAYSVILLE
Practice Address - State:UT
Practice Address - Zip Code:84037-2527
Practice Address - Country:US
Practice Address - Phone:385-888-0030
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-07-04
Last Update Date:2018-07-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT9564092-6010101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health