Provider Demographics
NPI:1497891444
Name:ROWE, JENNY ALICE (LCPC)
Entity Type:Individual
Prefix:
First Name:JENNY
Middle Name:ALICE
Last Name:ROWE
Suffix:
Gender:F
Credentials:LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3015 BENEFIT CT
Mailing Address - Street 2:
Mailing Address - City:ABINGDON
Mailing Address - State:MD
Mailing Address - Zip Code:21009-2943
Mailing Address - Country:US
Mailing Address - Phone:443-579-7693
Mailing Address - Fax:
Practice Address - Street 1:3015 BENEFIT CT
Practice Address - Street 2:
Practice Address - City:ABINGDON
Practice Address - State:MD
Practice Address - Zip Code:21009-2943
Practice Address - Country:US
Practice Address - Phone:443-579-7693
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-29
Last Update Date:2012-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDLC2192101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional