Provider Demographics
NPI:1568591659
Name:ROWLAND, SHANNON A (LCSW)
Entity Type:Individual
Prefix:
First Name:SHANNON
Middle Name:A
Last Name:ROWLAND
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2448 E 81ST ST STE 4819
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74137-4313
Mailing Address - Country:US
Mailing Address - Phone:918-401-0303
Mailing Address - Fax:918-888-3808
Practice Address - Street 1:2448 E 81ST ST STE 4819
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74137-4313
Practice Address - Country:US
Practice Address - Phone:918-401-0303
Practice Address - Fax:918-888-3808
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-05
Last Update Date:2024-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health