MEDICARE: LINDSAY ANN ROWE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor	A11580	NC

General Provider Information

NPI Number	:	1619322807
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LINDSAY ANN ROWE

Provider Business Mailing Address
First Line	:	4421 EASTHAVEN DR
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28212-4712
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4421 EASTHAVEN DR
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28212-4712
Country	:	US
Telephone Number	:	704-620-5218
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/26/2016
Last Update Date	:	04/26/2016

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Directions to “ LINDSAY ANN ROWE ” Practice Location

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