Provider Demographics
NPI:1104499011
Name:BARRETT, CAROL MARIE (LMFT/APCC)
Entity type:Individual
Prefix:MRS
First Name:CAROL
Middle Name:MARIE
Last Name:BARRETT
Suffix:
Gender:F
Credentials:LMFT/APCC
Other - Prefix:
Other - First Name:MARIE
Other - Middle Name:
Other - Last Name:BARRETT
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LMFT/APCC
Mailing Address - Street 1:127 RIMINI CT
Mailing Address - Street 2:
Mailing Address - City:DANVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:94506-2095
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:127 RIMINI CT
Practice Address - Street 2:
Practice Address - City:DANVILLE
Practice Address - State:CA
Practice Address - Zip Code:94506-2095
Practice Address - Country:US
Practice Address - Phone:925-786-6912
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-07-19
Last Update Date:2025-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA13539101YP2500X
CA157942106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional