Provider Demographics
NPI:1174393516
Name:HOWCROFT, JADA NICOLE (MA, LMFT)
Entity type:Individual
Prefix:
First Name:JADA
Middle Name:NICOLE
Last Name:HOWCROFT
Suffix:
Gender:F
Credentials:MA, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:53 MORNINGSIDE PARK
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14607-3044
Mailing Address - Country:US
Mailing Address - Phone:323-919-2268
Mailing Address - Fax:
Practice Address - Street 1:53 MORNINGSIDE PARK
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14607-3044
Practice Address - Country:US
Practice Address - Phone:323-919-2268
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-01-08
Last Update Date:2024-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY002217106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist