Provider Demographics
NPI:1750539755
Name:ROWE, CHARLA (LMFT, LPCC)
Entity type:Individual
Prefix:
First Name:CHARLA
Middle Name:
Last Name:ROWE
Suffix:
Gender:F
Credentials:LMFT, LPCC
Other - Prefix:
Other - First Name:CHARLA
Other - Middle Name:
Other - Last Name:HEIBEL MEIER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MFT, LPCC
Mailing Address - Street 1:720 WOOD STREET
Mailing Address - Street 2:ATTENTION: QI
Mailing Address - City:EUREKA
Mailing Address - State:CA
Mailing Address - Zip Code:95501
Mailing Address - Country:US
Mailing Address - Phone:530-592-7512
Mailing Address - Fax:
Practice Address - Street 1:930 6TH ST
Practice Address - Street 2:
Practice Address - City:EUREKA
Practice Address - State:CA
Practice Address - Zip Code:95501
Practice Address - Country:US
Practice Address - Phone:707-476-4097
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-09-03
Last Update Date:2019-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA813101YM0800X
CA50834106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health