Provider Demographics
NPI:1710171897
Name:DOWD, JENNIFER SUSAN (MA, MFTI)
Entity Type:Individual
Prefix:MS
First Name:JENNIFER
Middle Name:SUSAN
Last Name:DOWD
Suffix:
Gender:F
Credentials:MA, MFTI
Other - Prefix:MS
Other - First Name:JENNY
Other - Middle Name:SUSAN
Other - Last Name:DOWD
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MA, MFTI
Mailing Address - Street 1:6710A TUSTIN RD
Mailing Address - Street 2:
Mailing Address - City:PRUNEDALE
Mailing Address - State:CA
Mailing Address - Zip Code:93907-8599
Mailing Address - Country:US
Mailing Address - Phone:831-663-6859
Mailing Address - Fax:
Practice Address - Street 1:433 SALINAS ST
Practice Address - Street 2:
Practice Address - City:SALINAS
Practice Address - State:CA
Practice Address - Zip Code:93901-2717
Practice Address - Country:US
Practice Address - Phone:831-757-7915
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-31
Last Update Date:2007-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health