Provider Demographics
NPI:1518137751
Name:DOW, MONA (MFT)
Entity Type:Individual
Prefix:MRS
First Name:MONA
Middle Name:
Last Name:DOW
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 1:28 MONARCH BAY PLZ STE N
Mailing Address - Street 2:
Mailing Address - City:DANA POINT
Mailing Address - State:CA
Mailing Address - Zip Code:92629-3460
Mailing Address - Country:US
Mailing Address - Phone:949-702-2347
Mailing Address - Fax:949-493-9350
Practice Address - Street 1:28 MONARCH BAY PLZ STE N
Practice Address - Street 2:
Practice Address - City:DANA POINT
Practice Address - State:CA
Practice Address - Zip Code:92629-3460
Practice Address - Country:US
Practice Address - Phone:949-702-2347
Practice Address - Fax:949-493-9350
Is Sole Proprietor?:Yes
Enumeration Date:2008-03-04
Last Update Date:2010-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist