Provider Demographics
NPI:1003034604
Name:ROWEN, DON (MFT)
Entity Type:Individual
Prefix:
First Name:DON
Middle Name:
Last Name:ROWEN
Suffix:
Gender:M
Credentials:MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3366 PUNTA ALTA
Mailing Address - Street 2:UNIT 2F
Mailing Address - City:LAGUNA WOODS
Mailing Address - State:CA
Mailing Address - Zip Code:92637-2842
Mailing Address - Country:US
Mailing Address - Phone:949-460-5320
Mailing Address - Fax:949-460-5322
Practice Address - Street 1:23201 MILL CREEK DR
Practice Address - Street 2:STE 220
Practice Address - City:LAGUNA HILLS
Practice Address - State:CA
Practice Address - Zip Code:92653-7905
Practice Address - Country:US
Practice Address - Phone:949-460-5320
Practice Address - Fax:949-460-5322
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC18566106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist