Individual
JASON DAVID LOWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
2305 E PARIS AVE SE STE 203, GRAND RAPIDS, MI 49546-2426
(616) 816-1758
Mailing address
1096 AMBERWOOD WEST DR SW, BYRON CENTER, MI 49315-8316
(616) 550-6134
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6401223760
MI
Other
Enumeration date
05/05/2021
Last updated
02/16/2024
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