Healthcare Provider Details

I. General information

NPI: 1902725237
Provider Name (Legal Business Name): CAROLINE MIREI KAWASHIMA MS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/11/2026
Last Update Date: 07/11/2026
Certification Date: 07/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 TAMAL PLZ
CORTE MADERA CA
94925-1125
US

IV. Provider business mailing address

822 COLLEGE AVE UNIT 102
KENTFIELD CA
94914-5702
US

V. Phone/Fax

Practice location:
  • Phone: 650-881-3684
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: