Provider Demographics
NPI:1679803936
Name:HOWE, JEANINE JENNIFER CANNELLA (LCPC, CDVP)
Entity Type:Individual
Prefix:MRS
First Name:JEANINE
Middle Name:JENNIFER CANNELLA
Last Name:HOWE
Suffix:
Gender:F
Credentials:LCPC, CDVP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:3047 N LINCOLN AVE UNIT 400
Mailing Address - Street 2:3S
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60657-4274
Mailing Address - Country:US
Mailing Address - Phone:630-935-1501
Mailing Address - Fax:773-404-5837
Practice Address - Street 1:3047 N LINCOLN AVE
Practice Address - Street 2:400
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60657-4999
Practice Address - Country:US
Practice Address - Phone:630-935-1501
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-01-10
Last Update Date:2011-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL180005370101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional