Provider Demographics
NPI:1184849275
Name:JEFFERSON COUNSELING SERVICES, PLLC
Entity Type:Organization
Organization Name:JEFFERSON COUNSELING SERVICES, PLLC
Other - Org Name:JILL L. ROWLAND, LICSW, CAC
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:CLINICAL SOCIAL WORKER
Authorized Official - Prefix:MS
Authorized Official - First Name:JILL
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:ROWLAND
Authorized Official - Suffix:
Authorized Official - Credentials:LICSW, CAC
Authorized Official - Phone:304-261-9768
Mailing Address - Street 1:364 STEAMBOAT RUN RD
Mailing Address - Street 2:
Mailing Address - City:SHEPHERDSTOWN
Mailing Address - State:WV
Mailing Address - Zip Code:25443-4124
Mailing Address - Country:US
Mailing Address - Phone:304-261-9768
Mailing Address - Fax:
Practice Address - Street 1:322 W WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:CHARLES TOWN
Practice Address - State:WV
Practice Address - Zip Code:25414-1557
Practice Address - Country:US
Practice Address - Phone:304-261-9768
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-16
Last Update Date:2009-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WVDP00939774251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health