Provider Demographics
NPI:1780245340
Name:ROWE, MONICA (CDCI)
Entity type:Individual
Prefix:
First Name:MONICA
Middle Name:
Last Name:ROWE
Suffix:
Gender:F
Credentials:CDCI
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 2225
Mailing Address - Street 2:
Mailing Address - City:BARROW
Mailing Address - State:AK
Mailing Address - Zip Code:99723-2225
Mailing Address - Country:US
Mailing Address - Phone:907-855-1869
Mailing Address - Fax:
Practice Address - Street 1:INTEGRATED BEHAVIORAL HEALTH
Practice Address - Street 2:5200 KARLUK STREET #69
Practice Address - City:BARROW
Practice Address - State:AK
Practice Address - Zip Code:99723
Practice Address - Country:US
Practice Address - Phone:907-852-0366
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-06-25
Last Update Date:2019-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)