Provider Demographics
NPI:1740570357
Name:ROWLAND, SHIRLEY DEAN (LAADC, RAS)
Entity Type:Individual
Prefix:DR
First Name:SHIRLEY
Middle Name:DEAN
Last Name:ROWLAND
Suffix:
Gender:F
Credentials:LAADC, RAS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3560 FEMOYER ST APT 108
Mailing Address - Street 2:
Mailing Address - City:MATHER
Mailing Address - State:CA
Mailing Address - Zip Code:95655-4179
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:3560 FEMOYER ST APT 108
Practice Address - Street 2:
Practice Address - City:MATHER
Practice Address - State:CA
Practice Address - Zip Code:95655-4179
Practice Address - Country:US
Practice Address - Phone:916-228-3167
Practice Address - Fax:916-228-3103
Is Sole Proprietor?:Yes
Enumeration Date:2011-04-15
Last Update Date:2011-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)