Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YP1600X | Pastoral Counselor | ||
N | 101YP2500X | Professional Counselor |
NPI | 1376063768 |
---|---|
Provider Name | Indira Sharleen Johnson Howe |
First Address | Huntingdon Valley, PA 19006-6856 |
Second Address | Huntingdon Valley, PA 19006-6856 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 27/06/2017 |
Last Update Date | 30/10/2020 |