Provider Demographics
NPI:1558561951
Name:BOWERS, WILLIAM FREDERICK II (MFT INTERN)
Entity Type:Individual
Prefix:MR
First Name:WILLIAM
Middle Name:FREDERICK
Last Name:BOWERS
Suffix:II
Gender:M
Credentials:MFT INTERN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2425 BISSO LN STE 200
Mailing Address - Street 2:
Mailing Address - City:CONCORD
Mailing Address - State:CA
Mailing Address - Zip Code:94520-4886
Mailing Address - Country:US
Mailing Address - Phone:925-381-7136
Mailing Address - Fax:925-646-5662
Practice Address - Street 1:2425 BISSO LN
Practice Address - Street 2:SUITE 280
Practice Address - City:CONCORD
Practice Address - State:CA
Practice Address - Zip Code:94520-4897
Practice Address - Country:US
Practice Address - Phone:925-646-5965
Practice Address - Fax:925-646-5662
Is Sole Proprietor?:No
Enumeration Date:2007-07-23
Last Update Date:2018-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALMFT46795101YM0800X, 106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health