Provider Demographics
NPI:1568656734
Name:COWIE, GEORGINA MURIEL (MFT-I)
Entity Type:Individual
Prefix:MS
First Name:GEORGINA
Middle Name:MURIEL
Last Name:COWIE
Suffix:
Gender:F
Credentials:MFT-I
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21250 BOX SPRINGS RD STE 106
Mailing Address - Street 2:
Mailing Address - City:MORENO VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:92557-8707
Mailing Address - Country:US
Mailing Address - Phone:951-686-3706
Mailing Address - Fax:951-686-7267
Practice Address - Street 1:21250 BOX SPRINGS RD STE 106
Practice Address - Street 2:
Practice Address - City:MORENO VALLEY
Practice Address - State:CA
Practice Address - Zip Code:92557-8707
Practice Address - Country:US
Practice Address - Phone:951-686-3706
Practice Address - Fax:951-686-7267
Is Sole Proprietor?:No
Enumeration Date:2007-08-30
Last Update Date:2008-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAIMF 51884101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health