Provider Demographics
NPI:1255493060
Name:BOWEN, ANNE S (LMFT)
Entity Type:Individual
Prefix:MS
First Name:ANNE
Middle Name:S
Last Name:BOWEN
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:43355 SIERRA DR # B
Mailing Address - Street 2:
Mailing Address - City:THREE RIVERS
Mailing Address - State:CA
Mailing Address - Zip Code:93271-9707
Mailing Address - Country:US
Mailing Address - Phone:559-799-0555
Mailing Address - Fax:559-561-4678
Practice Address - Street 1:113 NORTH CHURCH STREET
Practice Address - Street 2:SUITE 421
Practice Address - City:VISALIA
Practice Address - State:CA
Practice Address - Zip Code:93291
Practice Address - Country:US
Practice Address - Phone:559-799-0555
Practice Address - Fax:559-561-4678
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC17229106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist