Provider Demographics
NPI:1922249689
Name:MCDOWELL-IBANEZ, ALENE (MFT)
Entity Type:Individual
Prefix:
First Name:ALENE
Middle Name:
Last Name:MCDOWELL-IBANEZ
Suffix:
Gender:F
Credentials:MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:26505 SAINT MICHEL LN
Mailing Address - Street 2:
Mailing Address - City:MURRIETA
Mailing Address - State:CA
Mailing Address - Zip Code:92563-6093
Mailing Address - Country:US
Mailing Address - Phone:951-775-6687
Mailing Address - Fax:
Practice Address - Street 1:26505 SAINT MICHEL LN
Practice Address - Street 2:
Practice Address - City:MURRIETA
Practice Address - State:CA
Practice Address - Zip Code:92563-6093
Practice Address - Country:US
Practice Address - Phone:951-775-6687
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-03-10
Last Update Date:2021-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101Y00000X
88285101YM0800X
CA124855106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health