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NPI Code Detail

MEDICARE: EL CARIS GIVEN CAMARILLO-GIBBS

MEDICARE: EL CARIS GIVEN CAMARILLO-GIBBS
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
1101YM0800XMental Health Counselor
2172V00000XCommunity Health Worker
3106H00000XMarriage & Family Therapist
4373H00000XDay Training/Habilitation Specialist
5225400000XRehabilitation Practitioner

General Provider Information

NPI Number : 1508571993
Entity Type Code : Individual
Provider Name (Legal Business Name) : EL CARIS GIVEN CAMARILLO-GIBBS
Provider Business Mailing Address
First Line : 107 E MICHELTORENA ST
Second Line :
City : SANTA BARBARA
State : CA
Zip : 93101-1905
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 107 E MICHELTORENA ST
Second Line :
City : SANTA BARBARA
State : CA
Zip : 93101-1905
Country : US
Telephone Number : 805-363-0773
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/19/2023
Last Update Date : 03/06/2026

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