Provider Demographics
NPI:1699890897
Name:TERAN, CARI ANN (MS)
Entity type:Individual
Prefix:MRS
First Name:CARI
Middle Name:ANN
Last Name:TERAN
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 242
Mailing Address - Street 2:
Mailing Address - City:PLACENTIA
Mailing Address - State:CA
Mailing Address - Zip Code:92871-0242
Mailing Address - Country:US
Mailing Address - Phone:562-277-0461
Mailing Address - Fax:562-684-0785
Practice Address - Street 1:13001 SEAL BEACH BLVD
Practice Address - Street 2:SUITE 360
Practice Address - City:SEAL BEACH
Practice Address - State:CA
Practice Address - Zip Code:90740-2753
Practice Address - Country:US
Practice Address - Phone:562-277-0461
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-20
Last Update Date:2024-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC 39271106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist