Provider Demographics
NPI:1952720435
Name:ROWLEY, CAROL THOMAS (MA, LMHC, NCC)
Entity type:Individual
Prefix:
First Name:CAROL
Middle Name:THOMAS
Last Name:ROWLEY
Suffix:
Gender:F
Credentials:MA, LMHC, NCC
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 67470
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87193-7470
Mailing Address - Country:US
Mailing Address - Phone:505-948-1554
Mailing Address - Fax:
Practice Address - Street 1:6616 GULTON CT NE
Practice Address - Street 2:SUITE 30
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87109-4452
Practice Address - Country:US
Practice Address - Phone:505-948-1554
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-04-10
Last Update Date:2014-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM0164491101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional