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NPI Code Detail

MEDICARE: CHARLES CLIFFORD HOWIE M.S., LMHC, LPC

MEDICARE: CHARLES CLIFFORD HOWIE M.S., LMHC, LPC
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
1101YM0800XMental Health Counselor39000607 AIN
2101YM0800XMental Health CounselorC5496OH

General Provider Information

NPI Number : 1942267950
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHARLES CLIFFORD HOWIE M.S., LMHC, LPC
Provider Business Mailing Address
First Line : 1415 MAGNAVOX WAY
Second Line : SUITE 120
City : FORT WAYNE
State : IN
Zip : 46804-1565
Country : US
Telephone Number : 260-466-3988
Fax Number : 460-483-0836
Provider Business Practice Location Address
First Line : 1415 MAGNAVOX WAY
Second Line : SUITE 120
City : FORT WAYNE
State : IN
Zip : 46804-1565
Country : US
Telephone Number : 260-466-3988
Fax Number : 460-483-0836
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/26/2006
Last Update Date : 07/09/2007

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