Doctor Name: | JAN ROWLAND |
NPI Number: | 1407246820 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW |
License Number: | 2031139 |
Business Practice Address: | 357 Main St Athol, MA - 013312233 |
Business Phone Number: | 9785442148 |
Business Fax Number: | |
Mailing Address: | 618 West St, LEOMINSTER |
State: | MA |
Postal Code: | 014532039 |
Phone Number: | 9788331621 |
Fax Number: | |
NPI Enumeration Date: | 01/24/2015 |
NPI Last Update Date: | 01/24/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 2031139 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |