Provider Demographics
NPI:1700810967
Name:WOLNICK, ROWAN LETCHER (MFT)
Entity Type:Individual
Prefix:MRS
First Name:ROWAN
Middle Name:LETCHER
Last Name:WOLNICK
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 1:1251 PACIFIC ST
Mailing Address - Street 2:
Mailing Address - City:MONTEREY
Mailing Address - State:CA
Mailing Address - Zip Code:93940-6120
Mailing Address - Country:US
Mailing Address - Phone:831-648-1963
Mailing Address - Fax:831-648-1963
Practice Address - Street 1:1251 PACIFIC ST
Practice Address - Street 2:
Practice Address - City:MONTEREY
Practice Address - State:CA
Practice Address - Zip Code:93940-6120
Practice Address - Country:US
Practice Address - Phone:831-648-1963
Practice Address - Fax:831-648-1963
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFT 36359106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist