Provider Demographics
NPI:1932393386
Name:KNOWLES, JANELL IRENE (LADAC LPCC)
Entity Type:Individual
Prefix:MS
First Name:JANELL
Middle Name:IRENE
Last Name:KNOWLES
Suffix:
Gender:F
Credentials:LADAC LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5640 40TH ST SW
Mailing Address - Street 2:
Mailing Address - City:GREAT FALLS
Mailing Address - State:MT
Mailing Address - Zip Code:59404-5007
Mailing Address - Country:US
Mailing Address - Phone:580-574-0211
Mailing Address - Fax:
Practice Address - Street 1:1220 CENTRAL AVE STE 1-A
Practice Address - Street 2:
Practice Address - City:GREAT FALLS
Practice Address - State:MT
Practice Address - Zip Code:59401-3752
Practice Address - Country:US
Practice Address - Phone:505-587-2712
Practice Address - Fax:505-587-1815
Is Sole Proprietor?:No
Enumeration Date:2007-08-29
Last Update Date:2009-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT1093-LCPC101YM0800X
MT977101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)