Provider Demographics
NPI:1801694641
Name:BOWEN, CHRISTIANNA DIANE (LMFT)
Entity type:Individual
Prefix:MRS
First Name:CHRISTIANNA
Middle Name:DIANE
Last Name:BOWEN
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1211 S EMPORIA AVE
Mailing Address - Street 2:
Mailing Address - City:WICHITA
Mailing Address - State:KS
Mailing Address - Zip Code:67211-3211
Mailing Address - Country:US
Mailing Address - Phone:316-660-9493
Mailing Address - Fax:
Practice Address - Street 1:1211 S EMPORIA AVE
Practice Address - Street 2:
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67211-3211
Practice Address - Country:US
Practice Address - Phone:316-660-9493
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-06
Last Update Date:2025-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS03688106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist