Provider Demographics
NPI:1336973973
Name:TOUS, KARA
Entity type:Individual
Prefix:
First Name:KARA
Middle Name:
Last Name:TOUS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22600 SAVI RANCH PKWY STE A23
Mailing Address - Street 2:
Mailing Address - City:YORBA LINDA
Mailing Address - State:CA
Mailing Address - Zip Code:92887-4667
Mailing Address - Country:US
Mailing Address - Phone:714-809-6946
Mailing Address - Fax:
Practice Address - Street 1:22600 SAVI RANCH PKWY STE A23
Practice Address - Street 2:
Practice Address - City:YORBA LINDA
Practice Address - State:CA
Practice Address - Zip Code:92887-4667
Practice Address - Country:US
Practice Address - Phone:714-809-6946
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-08-27
Last Update Date:2024-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA132156106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist