Provider Demographics
NPI:1609261692
Name:ROWELL, ELIZABETH ANN (LMFT)
Entity Type:Individual
Prefix:MRS
First Name:ELIZABETH
Middle Name:ANN
Last Name:ROWELL
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:5417 MADISON AVE
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95841-3164
Mailing Address - Country:US
Mailing Address - Phone:916-388-3231
Mailing Address - Fax:916-388-3232
Practice Address - Street 1:6117 RUTLAND DR
Practice Address - Street 2:
Practice Address - City:CARMICHAEL
Practice Address - State:CA
Practice Address - Zip Code:95608-0718
Practice Address - Country:US
Practice Address - Phone:916-609-2420
Practice Address - Fax:916-962-9814
Is Sole Proprietor?:Yes
Enumeration Date:2015-04-06
Last Update Date:2020-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA83603106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist