Provider Demographics
NPI:1891228037
Name:HOWELL, JENNIFER (CADC)
Entity type:Individual
Prefix:
First Name:JENNIFER
Middle Name:
Last Name:HOWELL
Suffix:
Gender:F
Credentials:CADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10305 RESTLESS RIVER ST
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89141-9022
Mailing Address - Country:US
Mailing Address - Phone:209-918-8537
Mailing Address - Fax:
Practice Address - Street 1:10305 RESTLESS RIVER ST
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89141-9022
Practice Address - Country:US
Practice Address - Phone:209-233-3868
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-04-05
Last Update Date:2024-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)