Provider Demographics
NPI:1336950377
Name:WESSON, CAROLYN H (MFT)
Entity type:Individual
Prefix:MS
First Name:CAROLYN
Middle Name:H
Last Name:WESSON
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 1:3750 E VIA PALOMITA APT 36102
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85718-3365
Mailing Address - Country:US
Mailing Address - Phone:520-441-9261
Mailing Address - Fax:
Practice Address - Street 1:3750 E VIA PALOMITA APT 36102
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85718-3365
Practice Address - Country:US
Practice Address - Phone:520-441-9261
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-17
Last Update Date:2025-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA8584106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty