Provider Demographics
NPI:1578830865
Name:HOWARD, CARMEN JEAN (MS, LPC)
Entity Type:Individual
Prefix:
First Name:CARMEN
Middle Name:JEAN
Last Name:HOWARD
Suffix:
Gender:F
Credentials:MS, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8323 N SHANNON RD UNIT 4207
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85742-9372
Mailing Address - Country:US
Mailing Address - Phone:520-820-8995
Mailing Address - Fax:520-820-8995
Practice Address - Street 1:1604 N COUNTRY CLUB RD
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85716-3119
Practice Address - Country:US
Practice Address - Phone:520-820-8995
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-11-30
Last Update Date:2023-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZLPC-19668101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health