Provider Demographics
NPI:1285949123
Name:ALDEN, CAROLA TERESA (MFT)
Entity type:Individual
Prefix:MS
First Name:CAROLA
Middle Name:TERESA
Last Name:ALDEN
Suffix:
Gender:F
Credentials:MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:201 WOODSCAPE DR
Mailing Address - Street 2:
Mailing Address - City:ALBANY
Mailing Address - State:NY
Mailing Address - Zip Code:12203-5602
Mailing Address - Country:US
Mailing Address - Phone:805-708-6127
Mailing Address - Fax:
Practice Address - Street 1:200 TRILLIUM LN
Practice Address - Street 2:
Practice Address - City:ALBANY
Practice Address - State:NY
Practice Address - Zip Code:12203-3818
Practice Address - Country:US
Practice Address - Phone:805-708-6127
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-16
Last Update Date:2017-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA46223106H00000X
NY001229106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist