Healthcare Provider Details

I. General information

NPI: 1396099206
Provider Name (Legal Business Name): JODIE HOWE LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: JODIE GRAHAM LPC

II. Dates (important events)

Enumeration Date: 10/30/2012
Last Update Date: 12/18/2025
Certification Date: 12/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8151 E EVANS RD STE 9
SCOTTSDALE AZ
85260-3648
US

IV. Provider business mailing address

6532 N 16TH AVE
PHOENIX AZ
85015-1422
US

V. Phone/Fax

Practice location:
  • Phone: 480-599-3858
  • Fax:
Mailing address:
  • Phone: 480-599-3858
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberLPC-21583
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: