Provider Demographics
NPI:1801011325
Name:MARLOWE, ELAINE M (PHD,LPCC)
Entity Type:Individual
Prefix:DR
First Name:ELAINE
Middle Name:M
Last Name:MARLOWE
Suffix:
Gender:F
Credentials:PHD,LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3080 BROWN RD
Mailing Address - Street 2:
Mailing Address - City:JEFFERSON
Mailing Address - State:OH
Mailing Address - Zip Code:44047-9795
Mailing Address - Country:US
Mailing Address - Phone:440-645-4684
Mailing Address - Fax:440-992-4482
Practice Address - Street 1:3080 BROWN RD
Practice Address - Street 2:
Practice Address - City:JEFFERSON
Practice Address - State:OH
Practice Address - Zip Code:44047-9795
Practice Address - Country:US
Practice Address - Phone:440-645-4684
Practice Address - Fax:440-992-4482
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-17
Last Update Date:2014-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHE. 0003074101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health