Provider Demographics
NPI:1730679788
Name:MOWERY, JOSEPH (LPC)
Entity Type:Individual
Prefix:
First Name:JOSEPH
Middle Name:
Last Name:MOWERY
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:JOEY
Other - Middle Name:
Other - Last Name:MOWERY
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LPC
Mailing Address - Street 1:12534 E CORNELL AVE APT 104
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80014-3387
Mailing Address - Country:US
Mailing Address - Phone:940-782-8305
Mailing Address - Fax:
Practice Address - Street 1:12534 E CORNELL AVE APT 104
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80014-3387
Practice Address - Country:US
Practice Address - Phone:720-505-5910
Practice Address - Fax:940-565-8305
Is Sole Proprietor?:Yes
Enumeration Date:2018-05-15
Last Update Date:2023-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX73842101YP2500X
CO17011101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional