Provider Demographics
NPI:1124352109
Name:LOWE, DORIS J (LICENSED COUNSELOR)
Entity type:Individual
Prefix:MS
First Name:DORIS
Middle Name:J
Last Name:LOWE
Suffix:
Gender:F
Credentials:LICENSED COUNSELOR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2919 BELMONT RD
Mailing Address - Street 2:
Mailing Address - City:CASPER
Mailing Address - State:WY
Mailing Address - Zip Code:82604-4641
Mailing Address - Country:US
Mailing Address - Phone:307-259-5139
Mailing Address - Fax:307-265-0458
Practice Address - Street 1:800 WERNER CT STE 235
Practice Address - Street 2:
Practice Address - City:CASPER
Practice Address - State:WY
Practice Address - Zip Code:82601-1361
Practice Address - Country:US
Practice Address - Phone:307-259-5139
Practice Address - Fax:307-265-0458
Is Sole Proprietor?:Yes
Enumeration Date:2009-09-24
Last Update Date:2024-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WY210101YM0800X, 101YM0800X
WY#210101YM0800X, 101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor