Provider Demographics
NPI:1659233799
Name:MCDOWELL, CHRISTINE TERESA (MA, PPS)
Entity type:Individual
Prefix:MRS
First Name:CHRISTINE
Middle Name:TERESA
Last Name:MCDOWELL
Suffix:
Gender:F
Credentials:MA, PPS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1592 VAN ANDEL WAY
Mailing Address - Street 2:
Mailing Address - City:RIPON
Mailing Address - State:CA
Mailing Address - Zip Code:95366-9474
Mailing Address - Country:US
Mailing Address - Phone:209-574-1794
Mailing Address - Fax:209-574-1795
Practice Address - Street 1:1725 LAS VEGAS ST
Practice Address - Street 2:
Practice Address - City:MODESTO
Practice Address - State:CA
Practice Address - Zip Code:95358-5500
Practice Address - Country:US
Practice Address - Phone:209-574-1794
Practice Address - Fax:209-574-1795
Is Sole Proprietor?:No
Enumeration Date:2025-11-26
Last Update Date:2025-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA576453101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor