Provider Demographics
NPI:1649740226
Name:SCHWAB, ALEN (LMFT)
Entity Type:Individual
Prefix:MR
First Name:ALEN
Middle Name:
Last Name:SCHWAB
Suffix:
Gender:M
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1301 REDWOOD WAY STE 223
Mailing Address - Street 2:
Mailing Address - City:PETALUMA
Mailing Address - State:CA
Mailing Address - Zip Code:94954-1136
Mailing Address - Country:US
Mailing Address - Phone:707-999-3920
Mailing Address - Fax:
Practice Address - Street 1:1301 REDWOOD WAY STE 223
Practice Address - Street 2:
Practice Address - City:PETALUMA
Practice Address - State:CA
Practice Address - Zip Code:94954-1136
Practice Address - Country:US
Practice Address - Phone:707-999-3920
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-11-27
Last Update Date:2023-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA191715101YM0800X
CAAMFT110099106H00000X
CA135187106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health