Individual
SHANIQUA JULYLAH ROWAN-BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LPC
Contact information
Practice address
3303 S LINDSAY RD STE 108, GILBERT, AZ 85297-1504
(480) 339-7119
Mailing address
8329 W MOHAVE ST, TOLLESON, AZ 85353-8959
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
LPC-19367
AZ
101YP2500X
Professional Counselor
Primary
LPC-19367
AZ
Other
Enumeration date
10/26/2020
Last updated
10/26/2020
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