Provider Demographics
NPI:1316938285
Name:ROWSON, REBECCA A (MS/LPC)
Entity type:Individual
Prefix:
First Name:REBECCA
Middle Name:A
Last Name:ROWSON
Suffix:
Gender:F
Credentials:MS/LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5008 GEETHA DR
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:MO
Mailing Address - Zip Code:65202-5531
Mailing Address - Country:US
Mailing Address - Phone:573-443-7834
Mailing Address - Fax:573-442-0699
Practice Address - Street 1:601 W NIFONG BLVD
Practice Address - Street 2:BLDG. 5A
Practice Address - City:COLUMBIA
Practice Address - State:MO
Practice Address - Zip Code:65203-6804
Practice Address - Country:US
Practice Address - Phone:573-442-0501
Practice Address - Fax:573-442-0699
Is Sole Proprietor?:Yes
Enumeration Date:2005-10-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO001609101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
Provider Identifiers
StateIdentifier IDID TypeIssuer
179427OtherBLUECROSSBLUESHIELD
11545404OtherCAQH