Provider Demographics
NPI:1467896126
Name:ROWSER, SUSANNA JOY (RAC, LLPC)
Entity Type:Individual
Prefix:MRS
First Name:SUSANNA
Middle Name:JOY
Last Name:ROWSER
Suffix:
Gender:F
Credentials:RAC, LLPC
Other - Prefix:MS
Other - First Name:SUSANNA
Other - Middle Name:JOY
Other - Last Name:MORRISEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:215 N DURAND ST
Mailing Address - Street 2:
Mailing Address - City:JACKSON
Mailing Address - State:MI
Mailing Address - Zip Code:49202-4118
Mailing Address - Country:US
Mailing Address - Phone:517-784-2929
Mailing Address - Fax:517-784-3030
Practice Address - Street 1:1200 N WEST AVE STE 400
Practice Address - Street 2:
Practice Address - City:JACKSON
Practice Address - State:MI
Practice Address - Zip Code:49202-2180
Practice Address - Country:US
Practice Address - Phone:517-780-3336
Practice Address - Fax:517-796-4561
Is Sole Proprietor?:No
Enumeration Date:2013-04-24
Last Update Date:2017-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YA0400X
MI6401013827101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)