Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YP2500X | Professional Counselor | LPC.0012332 | CO |
NPI | 1003359316 |
---|---|
Provider Name | Monica Rowell |
First Address | Fort Collins, CO 80525-5945 |
Second Address | Fort Collins, CO 80525-5945 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/11/2016 |
Last Update Date | 18/11/2016 |