Basic Information
| Provider Information | |||||||||
| NPI: | 1295204139 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | CAMINO FAMILY COUNSELING, INC. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 8852 CALMADA AVE. | ||||||||
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| City: | WHITTIER | ||||||||
| State: | CA | ||||||||
| PostalCode: | 90605 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5624724920 | ||||||||
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| Practice Location | |||||||||
| Address1: | 14408 WHITTIER BLVD. | ||||||||
| Address2: | STE. A7 | ||||||||
| City: | WHITTIER | ||||||||
| State: | CA | ||||||||
| PostalCode: | 90605 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6266002068 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 11/21/2018 | ||||||||
| LastUpdateDate: | 11/21/2018 | ||||||||
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| AuthorizedOfficialLastName: | MOREL | ||||||||
| AuthorizedOfficialFirstName: | KARLA | ||||||||
| AuthorizedOfficialMiddleName: | G. | ||||||||
| AuthorizedOfficialTitleorPosition: | OWNER | ||||||||
| AuthorizedOfficialTelephone: | 5624724920 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialCredential: | LMFT | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 106H00000X | Y | 193400000X SINGLE SPECIALTY GROUP | Behavioral Health & Social Service Providers | Marriage & Family Therapist |
No ID Information.