Healthcare Provider Details

I. General information

NPI: 1255235693
Provider Name (Legal Business Name): VITO RICHARD SKIDMORE AMFT, APCC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

Provider Other Name: VITO LUKE FARACI N/A

II. Dates (important events)

Enumeration Date: 10/07/2026
Last Update Date: 10/07/2026
Certification Date: 10/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

111 W MICHELTORENA ST STE 201
SANTA BARBARA CA
93101-3095
US

IV. Provider business mailing address

585 E CHANNEL ISLANDS BLVD
OXNARD CA
93033-4603
US

V. Phone/Fax

Practice location:
  • Phone: 805-869-6320
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number164774
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: