Provider Demographics
NPI:1639182165
Name:STOWELL, JENNIFER (LMHC)
Entity type:Individual
Prefix:MRS
First Name:JENNIFER
Middle Name:
Last Name:STOWELL
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:MS
Other - First Name:JENNIFER
Other - Middle Name:SHERWOOD
Other - Last Name:MCGREGOR
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LMHC
Mailing Address - Street 1:2831 S FADE DR
Mailing Address - Street 2:
Mailing Address - City:GREEN VALLEY
Mailing Address - State:AZ
Mailing Address - Zip Code:85614-1153
Mailing Address - Country:US
Mailing Address - Phone:360-908-4099
Mailing Address - Fax:
Practice Address - Street 1:2831 S FADE DR
Practice Address - Street 2:
Practice Address - City:GREEN VALLEY
Practice Address - State:AZ
Practice Address - Zip Code:85614-1153
Practice Address - Country:US
Practice Address - Phone:360-908-4099
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-14
Last Update Date:2024-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health