Provider Demographics
NPI:1871020800
Name:HOWELL, GENELL BRENNA (MA, LPCC)
Entity Type:Individual
Prefix:
First Name:GENELL
Middle Name:BRENNA
Last Name:HOWELL
Suffix:
Gender:F
Credentials:MA, LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 2288
Mailing Address - Street 2:
Mailing Address - City:TAOS
Mailing Address - State:NM
Mailing Address - Zip Code:87571-2288
Mailing Address - Country:US
Mailing Address - Phone:808-895-8451
Mailing Address - Fax:
Practice Address - Street 1:26 EOTOTO RD
Practice Address - Street 2:
Practice Address - City:EL PRADO
Practice Address - State:NM
Practice Address - Zip Code:87529-7423
Practice Address - Country:US
Practice Address - Phone:808-895-8451
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-05-22
Last Update Date:2023-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI437101YM0800X
NMCTB-2022-0074101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NMCTB-2022-0074OtherLPCC
HI437OtherLMHC