Healthcare Provider Details

I. General information

NPI: 1831615053
Provider Name (Legal Business Name): CAROLINE MARIE BARICH M.A.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/18/2017
Last Update Date: 08/04/2026
Certification Date: 08/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

325 W WASHINGTON ST STE 2275
SAN DIEGO CA
92103-1946
US

IV. Provider business mailing address

PO BOX 80281
SAN DIEGO CA
92138-0281
US

V. Phone/Fax

Practice location:
  • Phone: 858-345-6563
  • Fax:
Mailing address:
  • Phone: 858-345-6563
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number112512
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberC-7206
License Number StateOR
# 3
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number7806
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: