Provider Demographics
NPI:1659824530
Name:DOWNEY, CHRISTIAN DONOVAN (AMFT, CADCIII-CS(CA))
Entity type:Individual
Prefix:MS
First Name:CHRISTIAN
Middle Name:DONOVAN
Last Name:DOWNEY
Suffix:
Gender:F
Credentials:AMFT, CADCIII-CS(CA)
Other - Prefix:MS
Other - First Name:DARLENA
Other - Middle Name:DIANA
Other - Last Name:MALLORY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CATCII, CCS
Mailing Address - Street 1:401 W CIVIC CENTER DR # 704
Mailing Address - Street 2:
Mailing Address - City:SANTA ANA
Mailing Address - State:CA
Mailing Address - Zip Code:92701-4515
Mailing Address - Country:US
Mailing Address - Phone:714-480-6660
Mailing Address - Fax:
Practice Address - Street 1:401 W CIVIC CENTER DR # 700
Practice Address - Street 2:
Practice Address - City:SANTA ANA
Practice Address - State:CA
Practice Address - Zip Code:92701-4515
Practice Address - Country:US
Practice Address - Phone:714-480-6660
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-07-27
Last Update Date:2022-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA128579106H00000X, 106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA128579OtherMARRIAGE FAMILY THERAPIST
CACCS09042OtherCALIFORNIA ASSOCIATION OF ALCOHOL AND DRUG EDUCATORS (CAADE)
CA07147-11OtherCALIFORNIA ASSOCIATION OF ALCOHOL AND DRUG EDUCATORS (CAADE)