Provider Demographics
NPI:1518078914
Name:HOWARD, JAMES L (EDD, LCSW, LMFT, CEA)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:L
Last Name:HOWARD
Suffix:
Gender:M
Credentials:EDD, LCSW, LMFT, CEA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8503 EAGLE TRL
Mailing Address - Street 2:
Mailing Address - City:CHARLESTOWN
Mailing Address - State:IN
Mailing Address - Zip Code:47111-8403
Mailing Address - Country:US
Mailing Address - Phone:812-256-3060
Mailing Address - Fax:
Practice Address - Street 1:1455 CEDAR ST
Practice Address - Street 2:SUITE G
Practice Address - City:CLARKSVILLE
Practice Address - State:IN
Practice Address - Zip Code:47129-7700
Practice Address - Country:US
Practice Address - Phone:812-280-1847
Practice Address - Fax:812-280-0545
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN34001659A1041C0700X
KYKY-4781041C0700X
IN35000289A106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Not Answered106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist