Provider Demographics
NPI:1902226541
Name:NEWTON, JO ANNE (LPC)
Entity Type:Individual
Prefix:
First Name:JO
Middle Name:ANNE
Last Name:NEWTON
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:JO
Other - Middle Name:
Other - Last Name:HARRISON
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:1309 WINKLER AVE APT 628
Mailing Address - Street 2:
Mailing Address - City:KILLEEN
Mailing Address - State:TX
Mailing Address - Zip Code:76542-6489
Mailing Address - Country:US
Mailing Address - Phone:254-987-0405
Mailing Address - Fax:254-200-4486
Practice Address - Street 1:1826 STAGECOACH RD
Practice Address - Street 2:
Practice Address - City:KILLEEN
Practice Address - State:TX
Practice Address - Zip Code:76542-5694
Practice Address - Country:US
Practice Address - Phone:254-987-0405
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-04-22
Last Update Date:2021-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX69513101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX333670302Medicaid