Individual
JENNIFER DIANE LOWRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
621 W MADRONE ST, ROSEBURG, OR 97470-3090
(541) 440-3532
(541) 440-3554
Mailing address
PO BOX 1121, ROSEBURG, OR 97470-0254
(541) 440-3532
(541) 440-3554
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
THW000104626
OR
175T00000X
Peer Specialist
Primary
THW000104626
OR
Other
Enumeration date
03/09/2021
Last updated
05/26/2026
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