MEDICARE: JENNIFER HOWE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YA0400X	Addiction (Substance Use Disorder) Counselor
2	101Y00000X	Counselor	00187-LCS	NV

General Provider Information

NPI Number	:	1770907933
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JENNIFER HOWE

Provider Business Mailing Address
First Line	:	3624 WAOKANAKA ST
Second Line	:
City	:	HONOLULU
State	:	HI
Zip	:	96817-5224
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	8017 VILLA ARMANDO ST
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89131-4352
Country	:	US
Telephone Number	:	716-720-0824
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/08/2014
Last Update Date	:	03/04/2022

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Directions to “ JENNIFER HOWE ” Practice Location

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