Provider Demographics
NPI:1154591709
Name:HOWELL, JON RANDE (LPC)
Entity type:Individual
Prefix:MR
First Name:JON
Middle Name:RANDE
Last Name:HOWELL
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4525 EDMONTON DRIVE
Mailing Address - Street 2:SUITE M
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28209-0000
Mailing Address - Country:US
Mailing Address - Phone:704-921-9550
Mailing Address - Fax:
Practice Address - Street 1:4525 HEDGEMORE DR
Practice Address - Street 2:SUITE M
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28209-3235
Practice Address - Country:US
Practice Address - Phone:704-921-9550
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-03-10
Last Update Date:2008-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC3197101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional