Provider Demographics
NPI:1942267950
Name:HOWIE, CHARLES CLIFFORD (MS, LMHC, LPC)
Entity Type:Individual
Prefix:
First Name:CHARLES
Middle Name:CLIFFORD
Last Name:HOWIE
Suffix:
Gender:M
Credentials:MS, LMHC, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1415 MAGNAVOX WAY
Mailing Address - Street 2:SUITE 120
Mailing Address - City:FORT WAYNE
Mailing Address - State:IN
Mailing Address - Zip Code:46804-1565
Mailing Address - Country:US
Mailing Address - Phone:260-466-3988
Mailing Address - Fax:460-483-0836
Practice Address - Street 1:1415 MAGNAVOX WAY
Practice Address - Street 2:SUITE 120
Practice Address - City:FORT WAYNE
Practice Address - State:IN
Practice Address - Zip Code:46804-1565
Practice Address - Country:US
Practice Address - Phone:260-466-3988
Practice Address - Fax:460-483-0836
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-04-26
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN39000607 A101YM0800X
OHC5496101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health