Healthcare Provider Details

I. General information

NPI: 1427969625
Provider Name (Legal Business Name): CHERYL RAE-ANN DOWNS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/15/2026
Last Update Date: 09/15/2026
Certification Date: 09/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

145 ERTEN ST
THOUSAND OAKS CA
91360-1810
US

IV. Provider business mailing address

1892 COLONIA PL UNIT B
CAMARILLO CA
93010-7800
US

V. Phone/Fax

Practice location:
  • Phone: 805-479-7093
  • Fax:
Mailing address:
  • Phone: 805-479-7093
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: