Provider Demographics
NPI:1720356629
Name:LOEW, JAMES RYAN (MA, LPC, NCC)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:RYAN
Last Name:LOEW
Suffix:
Gender:M
Credentials:MA, LPC, NCC
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:118 E MOBILE ST
Mailing Address - Street 2:317
Mailing Address - City:FLORENCE
Mailing Address - State:AL
Mailing Address - Zip Code:35630-4782
Mailing Address - Country:US
Mailing Address - Phone:256-412-8371
Mailing Address - Fax:256-740-6712
Practice Address - Street 1:118 E MOBILE ST
Practice Address - Street 2:317
Practice Address - City:FLORENCE
Practice Address - State:AL
Practice Address - Zip Code:35630-4782
Practice Address - Country:US
Practice Address - Phone:256-412-8371
Practice Address - Fax:256-740-6712
Is Sole Proprietor?:Yes
Enumeration Date:2011-12-06
Last Update Date:2011-12-06
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
AL2980101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional