Provider Demographics
NPI:1174959605
Name:HOWELL, WENDY (LPC)
Entity type:Individual
Prefix:
First Name:WENDY
Middle Name:
Last Name:HOWELL
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:WENDY
Other - Middle Name:W
Other - Last Name:HOWELL
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LPC
Mailing Address - Street 1:10420 W RUTH AVE
Mailing Address - Street 2:
Mailing Address - City:PEORIA
Mailing Address - State:AZ
Mailing Address - Zip Code:85345-7441
Mailing Address - Country:US
Mailing Address - Phone:602-550-1933
Mailing Address - Fax:623-777-5815
Practice Address - Street 1:18205 N 51ST AVE STE 113
Practice Address - Street 2:
Practice Address - City:GLENDALE
Practice Address - State:AZ
Practice Address - Zip Code:85308-1491
Practice Address - Country:US
Practice Address - Phone:623-777-5815
Practice Address - Fax:623-777-5815
Is Sole Proprietor?:Yes
Enumeration Date:2013-09-16
Last Update Date:2020-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ16640101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor