Basic Information
| Provider Information | |||||||||
| NPI: | 1932483856 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | CARTER | ||||||||
| FirstName: | DAYANNE | ||||||||
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| Credential: | M.S, LMFT | ||||||||
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| Mailing Information | |||||||||
| Address1: | 625 CITRACADO PKWY | ||||||||
| Address2: | ST 102 | ||||||||
| City: | ESCONDIDO | ||||||||
| State: | CA | ||||||||
| PostalCode: | 920256428 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7602949270 | ||||||||
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| Practice Location | |||||||||
| Address1: | 3605 VISTA WAY | ||||||||
| Address2: | ST 258 | ||||||||
| City: | OCEANSIDE | ||||||||
| State: | CA | ||||||||
| PostalCode: | 920564565 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7607581480 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 10/11/2011 | ||||||||
| LastUpdateDate: | 01/22/2015 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 106H00000X | LMFT82031 | CA | Y | Behavioral Health & Social Service Providers | Marriage & Family Therapist |
No ID Information.