Provider Demographics
NPI:1043312135
Name:MCDOWELL, CARA ANN (MFT)
Entity Type:Individual
Prefix:MS
First Name:CARA
Middle Name:ANN
Last Name:MCDOWELL
Suffix:
Gender:F
Credentials:MFT
Other - Prefix:
Other - First Name:CARA
Other - Middle Name:ANN
Other - Last Name:REINDERS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MFT
Mailing Address - Street 1:11969 MIRO CIR
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92131-3326
Mailing Address - Country:US
Mailing Address - Phone:858-578-8057
Mailing Address - Fax:
Practice Address - Street 1:4550 KEARNY VILLA RD STE 116
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92123-1583
Practice Address - Country:US
Practice Address - Phone:858-279-1223
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-01
Last Update Date:2023-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA43358106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist