Provider Demographics
NPI:1386154706
Name:ROMERO, CAROLINA (LMFT)
Entity type:Individual
Prefix:MS
First Name:CAROLINA
Middle Name:
Last Name:ROMERO
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 1:18336 SOLEDAD CYN RD
Mailing Address - Street 2:P.O BOX 1813
Mailing Address - City:CANYON COUNTRY
Mailing Address - State:CA
Mailing Address - Zip Code:91386
Mailing Address - Country:US
Mailing Address - Phone:800-321-2843
Mailing Address - Fax:
Practice Address - Street 1:PO BOX 1813
Practice Address - Street 2:
Practice Address - City:CANYON COUNTRY
Practice Address - State:CA
Practice Address - Zip Code:91386-1813
Practice Address - Country:US
Practice Address - Phone:800-321-2843
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-10-12
Last Update Date:2017-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA100094106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty