Provider Demographics
NPI:1235356874
Name:BOWLING, TOMOKO (LMFT, LPCC, CAMS-II)
Entity Type:Individual
Prefix:MS
First Name:TOMOKO
Middle Name:
Last Name:BOWLING
Suffix:
Gender:F
Credentials:LMFT, LPCC, CAMS-II
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2555 TERESINA DR
Mailing Address - Street 2:
Mailing Address - City:HACIENDA HEIGHTS
Mailing Address - State:CA
Mailing Address - Zip Code:91745-4701
Mailing Address - Country:US
Mailing Address - Phone:909-646-0739
Mailing Address - Fax:
Practice Address - Street 1:2211 S HACIENDA BLVD STE 203D
Practice Address - Street 2:
Practice Address - City:HACIENDA HEIGHTS
Practice Address - State:CA
Practice Address - Zip Code:91745-4609
Practice Address - Country:US
Practice Address - Phone:909-646-0739
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-18
Last Update Date:2020-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALPC 65101YP2500X
CAMFC 41499106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional