Provider Demographics
NPI:1669522991
Name:TOWLER, CALVIN ROBERT (MFT)
Entity type:Individual
Prefix:
First Name:CALVIN
Middle Name:ROBERT
Last Name:TOWLER
Suffix:
Gender:M
Credentials:MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:952 W 5TH ST
Mailing Address - Street 2:
Mailing Address - City:ONTARIO
Mailing Address - State:CA
Mailing Address - Zip Code:91762-1534
Mailing Address - Country:US
Mailing Address - Phone:909-732-9113
Mailing Address - Fax:
Practice Address - Street 1:3683 CHINO AVE
Practice Address - Street 2:
Practice Address - City:CHINO
Practice Address - State:CA
Practice Address - Zip Code:91710-4719
Practice Address - Country:US
Practice Address - Phone:909-732-9113
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFT6044106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist