Healthcare Provider Details

I. General information

NPI: 1598773640
Provider Name (Legal Business Name): JANETTE HOWARTH PH.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/04/2006
Last Update Date: 03/15/2024
Certification Date: 03/15/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1419 RIPON AVE
LEWISTON ID
83501-5738
US

IV. Provider business mailing address

1419 RIPON AVE
LEWISTON ID
83501-5738
US

V. Phone/Fax

Practice location:
  • Phone: 425-421-7344
  • Fax:
Mailing address:
  • Phone: 425-442-1734
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberLH00009304
License Number StateWA
# 2
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberLCPC-5829
License Number StateID

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: