Healthcare Provider Details

I. General information

NPI: 1316938285
Provider Name (Legal Business Name): REBECCA A ROWSON MS/LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/31/2005
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

601 W NIFONG BLVD BLDG. 5A
COLUMBIA MO
65203-6804
US

IV. Provider business mailing address

5008 GEETHA DR
COLUMBIA MO
65202-5531
US

V. Phone/Fax

Practice location:
  • Phone: 573-442-0501
  • Fax: 573-442-0699
Mailing address:
  • Phone: 573-443-7834
  • Fax: 573-442-0699

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number001609
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: