Provider Demographics
NPI:1003001264
Name:CARNATHAN-CRIBBS, NANCY ANN (MA)
Entity Type:Individual
Prefix:MRS
First Name:NANCY
Middle Name:ANN
Last Name:CARNATHAN-CRIBBS
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1105 SEAVIEW AVE
Mailing Address - Street 2:
Mailing Address - City:PACIFIC GROVE
Mailing Address - State:CA
Mailing Address - Zip Code:93950-5211
Mailing Address - Country:US
Mailing Address - Phone:831-747-4383
Mailing Address - Fax:831-621-4720
Practice Address - Street 1:170 17TH ST
Practice Address - Street 2:SUITE B
Practice Address - City:PACIFIC GROVE
Practice Address - State:CA
Practice Address - Zip Code:93950-7201
Practice Address - Country:US
Practice Address - Phone:831-747-4383
Practice Address - Fax:831-621-4720
Is Sole Proprietor?:No
Enumeration Date:2007-09-11
Last Update Date:2010-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFT #44623106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist