Provider Demographics
NPI:1285130211
Name:ROWLAND, JEFFREY PETER (LMHC)
Entity type:Individual
Prefix:
First Name:JEFFREY
Middle Name:PETER
Last Name:ROWLAND
Suffix:
Gender:M
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PSC 561 BOX 1277
Mailing Address - Street 2:
Mailing Address - City:FPO
Mailing Address - State:AP
Mailing Address - Zip Code:96310-0013
Mailing Address - Country:US
Mailing Address - Phone:315-253-5260
Mailing Address - Fax:
Practice Address - Street 1:BDAACH/549TH HOSPITAL CENTER
Practice Address - Street 2:USAG HUMPHREYS BLDG #3030
Practice Address - City:APO
Practice Address - State:AP
Practice Address - Zip Code:96271
Practice Address - Country:US
Practice Address - Phone:315-737-1906
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-03-30
Last Update Date:2020-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA60629936101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health