Provider Demographics
NPI:1578886016
Name:RIBEIRO CHOW-QUAN, JANINE TERESE (LMHC)
Entity Type:Individual
Prefix:MRS
First Name:JANINE
Middle Name:TERESE
Last Name:RIBEIRO CHOW-QUAN
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3408 SW 171ST AVE
Mailing Address - Street 2:
Mailing Address - City:MIRAMAR
Mailing Address - State:FL
Mailing Address - Zip Code:33027-4581
Mailing Address - Country:US
Mailing Address - Phone:954-798-1073
Mailing Address - Fax:
Practice Address - Street 1:3538 S UNIVERSITY DR
Practice Address - Street 2:PRIMARY PRACTICE LOCATION
Practice Address - City:DAVIE
Practice Address - State:FL
Practice Address - Zip Code:33328-2003
Practice Address - Country:US
Practice Address - Phone:954-424-6916
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-03-11
Last Update Date:2012-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH 9723101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health