Healthcare Provider Details
I. General information
NPI: 1285087338
Provider Name (Legal Business Name): JENNIFER ROWLAND COUNSELING SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/13/2016
Last Update Date: 03/06/2019
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
335 NEES AVE SUITE 3
JOHNSTOWN PA
15904-1239
US
IV. Provider business mailing address
335 NEES AVE SUITE 3
JOHNSTOWN PA
15904-1239
US
V. Phone/Fax
- Phone: 814-241-6070
- Fax: 844-584-3355
- Phone: 814-241-6070
- Fax: 844-584-3355
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 251S00000X |
| Taxonomy | Community/Behavioral Health Agency |
| License Number | 005081 |
| License Number State | PA |
VII. Legacy identifiers
For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:
VIII. Authorized Official
Name:
JENNIFER
LYNN
ROWLAND
Title or Position: LICENSED PROFESSIONAL COUNSELOR
Credential: LPC
Phone: 814-241-6070