Provider Demographics
NPI:1528597671
Name:OWENS, WILLIAM L (LMFT)
Entity Type:Individual
Prefix:
First Name:WILLIAM
Middle Name:L
Last Name:OWENS
Suffix:
Gender:M
Credentials:LMFT
Other - Prefix:
Other - First Name:WILL
Other - Middle Name:
Other - Last Name:OWENS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LMFT
Mailing Address - Street 1:22631 BERDON ST
Mailing Address - Street 2:
Mailing Address - City:WOODLAND HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91367-4302
Mailing Address - Country:US
Mailing Address - Phone:310-853-3001
Mailing Address - Fax:
Practice Address - Street 1:23801 CALABASAS RD STE 2036
Practice Address - Street 2:
Practice Address - City:CALABASAS
Practice Address - State:CA
Practice Address - Zip Code:91302-3462
Practice Address - Country:US
Practice Address - Phone:310-853-3001
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-06-11
Last Update Date:2017-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMCF91638101YM0800X, 106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health