Doctor Name: | ABBEY LYNN LOWE |
NPI Number: | 1154604049 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 26545 |
Business Practice Address: | 1200 N 4th St Effingham, IL - 624013032 |
Business Phone Number: | 2173477179 |
Business Fax Number: | |
Mailing Address: | 805 Holiday Dr, EFFINGHAM |
State: | IL |
Postal Code: | 624011727 |
Phone Number: | 2178256527 |
Fax Number: | |
NPI Enumeration Date: | 09/27/2011 |
NPI Last Update Date: | 09/27/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | 26545 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |