Provider Demographics
NPI:1073660197
Name:LOWE, LINDA (MFT)
Entity Type:Individual
Prefix:MS
First Name:LINDA
Middle Name:
Last Name:LOWE
Suffix:
Gender:F
Credentials:MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:615A BEAR CREEK RD
Mailing Address - Street 2:
Mailing Address - City:GARBERVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:95542-3102
Mailing Address - Country:US
Mailing Address - Phone:707-923-4568
Mailing Address - Fax:
Practice Address - Street 1:615A BEAR CREEK RD
Practice Address - Street 2:
Practice Address - City:GARBERVILLE
Practice Address - State:CA
Practice Address - Zip Code:95542-3102
Practice Address - Country:US
Practice Address - Phone:707-923-4568
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC17765101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health