Provider Demographics
NPI:1508083601
Name:ROWELL, JEANNETTE (MA LPC)
Entity Type:Individual
Prefix:
First Name:JEANNETTE
Middle Name:
Last Name:ROWELL
Suffix:
Gender:F
Credentials:MA LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3926 EDGEWATER DR NE
Mailing Address - Street 2:
Mailing Address - City:ALBANY
Mailing Address - State:OR
Mailing Address - Zip Code:97322-4570
Mailing Address - Country:US
Mailing Address - Phone:503-580-0181
Mailing Address - Fax:
Practice Address - Street 1:1505 WATER ST NE
Practice Address - Street 2:STE 5
Practice Address - City:SALEM
Practice Address - State:OR
Practice Address - Zip Code:97301-6467
Practice Address - Country:US
Practice Address - Phone:503-508-0664
Practice Address - Fax:888-977-1513
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-19
Last Update Date:2014-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor