MEDICARE: CAROLINE VALINANDE L.M.F.T., CHOM

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	106H00000X	Marriage & Family Therapist	MFT20803	CA

General Provider Information

NPI Number	:	1023029253
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CAROLINE VALINANDE L.M.F.T., CHOM

Provider Business Mailing Address
First Line	:	10628 MELODY RD
Second Line	:
City	:	BIG OAK VALLEY
State	:	CA
Zip	:	95977-9537
Country	:	US
Telephone Number	:	530-432-6336
Fax Number	:	530-432-6511

Provider Business Practice Location Address
First Line	:	10628 MELODY RD
Second Line	:
City	:	BIG OAK VALLEY
State	:	CA
Zip	:	95977-9537
Country	:	US
Telephone Number	:	530-432-6336
Fax Number	:	530-432-6511

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/11/2006
Last Update Date	:	09/02/2024

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