| Doctor Name: | BOBBI JO LOWE |
| NPI Number: | 1417331877 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | 6401011684 |
| Business Practice Address: | 6199 Miller Rd Ste A Swartz Creek, MI - 484731585 |
| Business Phone Number: | 8105138264 |
| Business Fax Number: | 5173239531 |
| Mailing Address: | 6199 Miller Rd, Ste A SWARTZ CREEK |
| State: | MI |
| Postal Code: | 484731585 |
| Phone Number: | 8105138264 |
| Fax Number: | 5173239531 |
| NPI Enumeration Date: | 07/16/2015 |
| NPI Last Update Date: | 07/16/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | 6401011684 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MI |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |