Provider Demographics
NPI:1912224817
Name:MCKOWN, JANE CAFFREY (MS, LCPC)
Entity Type:Individual
Prefix:MS
First Name:JANE
Middle Name:CAFFREY
Last Name:MCKOWN
Suffix:
Gender:F
Credentials:MS, LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:99 COWAN RD
Mailing Address - Street 2:
Mailing Address - City:PORT DEPOSIT
Mailing Address - State:MD
Mailing Address - Zip Code:21904-2107
Mailing Address - Country:US
Mailing Address - Phone:410-658-7440
Mailing Address - Fax:
Practice Address - Street 1:99 COWAN RD
Practice Address - Street 2:
Practice Address - City:PORT DEPOSIT
Practice Address - State:MD
Practice Address - Zip Code:21904-2107
Practice Address - Country:US
Practice Address - Phone:410-658-7440
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-05-01
Last Update Date:2010-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDLC0858101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health