Provider Demographics
NPI:1104144328
Name:WINDSOR, CAROL E (LMFT)
Entity type:Individual
Prefix:
First Name:CAROL
Middle Name:E
Last Name:WINDSOR
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 1:40680 HIGHWAY 41 STE D
Mailing Address - Street 2:
Mailing Address - City:OAKHURST
Mailing Address - State:CA
Mailing Address - Zip Code:93644-9657
Mailing Address - Country:US
Mailing Address - Phone:559-267-3552
Mailing Address - Fax:209-317-4020
Practice Address - Street 1:40680 HIGHWAY 41 STE D
Practice Address - Street 2:
Practice Address - City:OAKHURST
Practice Address - State:CA
Practice Address - Zip Code:93644-9657
Practice Address - Country:US
Practice Address - Phone:559-267-3552
Practice Address - Fax:209-317-4020
Is Sole Proprietor?:No
Enumeration Date:2010-05-12
Last Update Date:2019-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YM0800X
CA52237106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health