Provider Demographics
NPI:1912573080
Name:ROWE, VALERIE L (MS, LMHC)
Entity Type:Individual
Prefix:
First Name:VALERIE
Middle Name:L
Last Name:ROWE
Suffix:
Gender:F
Credentials:MS, LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:507 CHERRY ST
Mailing Address - Street 2:
Mailing Address - City:NORTH JUDSON
Mailing Address - State:IN
Mailing Address - Zip Code:46366-1106
Mailing Address - Country:US
Mailing Address - Phone:574-249-8628
Mailing Address - Fax:
Practice Address - Street 1:507 CHERRY ST
Practice Address - Street 2:
Practice Address - City:NORTH JUDSON
Practice Address - State:IN
Practice Address - Zip Code:46366-1106
Practice Address - Country:US
Practice Address - Phone:574-249-8628
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-05-31
Last Update Date:2021-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN39003232A101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor