Provider Demographics
NPI:1366978009
Name:ROWLAND, JILL T (LPC)
Entity type:Individual
Prefix:MS
First Name:JILL
Middle Name:T
Last Name:ROWLAND
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14715 W ASHLEY CT
Mailing Address - Street 2:
Mailing Address - City:SURPRISE
Mailing Address - State:AZ
Mailing Address - Zip Code:85374-9685
Mailing Address - Country:US
Mailing Address - Phone:623-451-0295
Mailing Address - Fax:
Practice Address - Street 1:14715 W ASHLEY CT
Practice Address - Street 2:
Practice Address - City:SURPRISE
Practice Address - State:AZ
Practice Address - Zip Code:85374-9685
Practice Address - Country:US
Practice Address - Phone:623-451-0295
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-05-01
Last Update Date:2017-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZLPC-0685101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health