Provider Demographics
NPI:1487710976
Name:LOWRY-COLE, JANET S (MA, MFT)
Entity type:Individual
Prefix:
First Name:JANET
Middle Name:S
Last Name:LOWRY-COLE
Suffix:
Gender:F
Credentials:MA, MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:576 B ST
Mailing Address - Street 2:SUITE 1A
Mailing Address - City:SANTA ROSA
Mailing Address - State:CA
Mailing Address - Zip Code:95401-5273
Mailing Address - Country:US
Mailing Address - Phone:707-542-7987
Mailing Address - Fax:707-542-7987
Practice Address - Street 1:576 B ST
Practice Address - Street 2:SUITE 1A
Practice Address - City:SANTA ROSA
Practice Address - State:CA
Practice Address - Zip Code:95401-5273
Practice Address - Country:US
Practice Address - Phone:707-542-7987
Practice Address - Fax:707-542-7987
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC32774106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist