Provider Demographics
NPI:1619223872
Name:JANE MCKOWN AND ASSOCIATES LLC
Entity Type:Organization
Organization Name:JANE MCKOWN AND ASSOCIATES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED COUNSELOR
Authorized Official - Prefix:
Authorized Official - First Name:JANE
Authorized Official - Middle Name:C
Authorized Official - Last Name:MCKOWN
Authorized Official - Suffix:
Authorized Official - Credentials:MS, LCPC
Authorized Official - Phone:443-206-0237
Mailing Address - Street 1:99 COWAN RD
Mailing Address - Street 2:
Mailing Address - City:PORT DEPOSIT
Mailing Address - State:MD
Mailing Address - Zip Code:21904-2107
Mailing Address - Country:US
Mailing Address - Phone:443-206-0237
Mailing Address - Fax:410-287-5210
Practice Address - Street 1:102 E CECIL AVE STE B
Practice Address - Street 2:
Practice Address - City:NORTH EAST
Practice Address - State:MD
Practice Address - Zip Code:21901-4057
Practice Address - Country:US
Practice Address - Phone:443-206-0237
Practice Address - Fax:410-287-5210
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-07-25
Last Update Date:2012-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDLC0858101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD1912224817OtherINDIVIDUAL COUNSELOR