Provider Demographics
NPI:1689619249
Name:TOW, N JAY (LMHC)
Entity type:Individual
Prefix:MR
First Name:N
Middle Name:JAY
Last Name:TOW
Suffix:
Gender:M
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 297972
Mailing Address - Street 2:
Mailing Address - City:PEMBROKE PINES
Mailing Address - State:FL
Mailing Address - Zip Code:33029-7972
Mailing Address - Country:US
Mailing Address - Phone:954-646-6439
Mailing Address - Fax:954-212-8121
Practice Address - Street 1:7487 NW 4TH ST
Practice Address - Street 2:
Practice Address - City:PLANTATION
Practice Address - State:FL
Practice Address - Zip Code:33317-2227
Practice Address - Country:US
Practice Address - Phone:954-646-6439
Practice Address - Fax:954-212-8121
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH7063101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health