Provider Demographics
NPI:1710287529
Name:LOWERY-BREGAR, NANCY N (LPCC-S)
Entity Type:Individual
Prefix:
First Name:NANCY
Middle Name:N
Last Name:LOWERY-BREGAR
Suffix:
Gender:F
Credentials:LPCC-S
Other - Prefix:
Other - First Name:NANCY
Other - Middle Name:N
Other - Last Name:LOWERY-BREGAR
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LPCC-S
Mailing Address - Street 1:14701 DETROIT AVE
Mailing Address - Street 2:INA BUILDING SUITE 775
Mailing Address - City:LAKEWOOD
Mailing Address - State:OH
Mailing Address - Zip Code:44107-4115
Mailing Address - Country:US
Mailing Address - Phone:216-228-0010
Mailing Address - Fax:216-228-1610
Practice Address - Street 1:14701 DETROIT AVE
Practice Address - Street 2:INA BUILDING SUITE 775
Practice Address - City:LAKEWOOD
Practice Address - State:OH
Practice Address - Zip Code:44107-4115
Practice Address - Country:US
Practice Address - Phone:216-228-0010
Practice Address - Fax:216-228-1610
Is Sole Proprietor?:Yes
Enumeration Date:2010-10-26
Last Update Date:2010-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHE1364101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health