Provider Demographics
NPI:1639182165
Name:STOWELL, JENNIFER MCGREGOR STOWELL (LMHC)
Entity Type:Individual
Prefix:MRS
First Name:JENNIFER
Middle Name:MCGREGOR STOWELL
Last Name:STOWELL
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:MS
Other - First Name:JENNIFER
Other - Middle Name:SHERWOOD
Other - Last Name:MCGREGOR
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LMHC
Mailing Address - Street 1:3501 NW LOWELL ST
Mailing Address - Street 2:STE. 201
Mailing Address - City:SILVERDALE
Mailing Address - State:WA
Mailing Address - Zip Code:98383-7851
Mailing Address - Country:US
Mailing Address - Phone:360-698-8980
Mailing Address - Fax:360-698-8950
Practice Address - Street 1:3501 NW LOWELL ST
Practice Address - Street 2:STE. 201
Practice Address - City:SILVERDALE
Practice Address - State:WA
Practice Address - Zip Code:98383-7851
Practice Address - Country:US
Practice Address - Phone:360-698-8980
Practice Address - Fax:360-698-8950
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALH00003637101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health