Provider Demographics
NPI:1811654767
Name:ROWLEY, TEGAN MARIE (MA, LPCC, NCC)
Entity type:Individual
Prefix:
First Name:TEGAN
Middle Name:MARIE
Last Name:ROWLEY
Suffix:
Gender:F
Credentials:MA, LPCC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:68 INVERNESS LN E STE 203A
Mailing Address - Street 2:
Mailing Address - City:ENGLEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80112-5108
Mailing Address - Country:US
Mailing Address - Phone:720-248-7071
Mailing Address - Fax:
Practice Address - Street 1:68 INVERNESS LN E STE 203A
Practice Address - Street 2:
Practice Address - City:ENGLEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80112-5108
Practice Address - Country:US
Practice Address - Phone:720-248-7071
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-11-24
Last Update Date:2021-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO0019070101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty