Individual
JOHN LOWE III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LICSW, LADC
Contact information
Practice address
525 PORTLAND AVE # MC963, MINNEAPOLIS, MN 55415-1533
(612) 348-5553
Mailing address
525 PORTLAND AVE # MC963, MINNEAPOLIS, MN 55415-1533
(612) 348-5553
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
303112
MN
1041C0700X
Clinical Social Worker
Primary
21310
MN
Other
Enumeration date
08/25/2009
Last updated
01/16/2020
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