Provider Demographics
NPI:1013569912
Name:GILCHRIST, CAROLINE ELIZABETH
Entity Type:Individual
Prefix:MISS
First Name:CAROLINE
Middle Name:ELIZABETH
Last Name:GILCHRIST
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:CAROLINE
Other - Middle Name:ELIZABETH
Other - Last Name:LAMOUREUX
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1277 MONTEGO APT 42
Mailing Address - Street 2:
Mailing Address - City:WALNUT CREEK
Mailing Address - State:CA
Mailing Address - Zip Code:94598-2840
Mailing Address - Country:US
Mailing Address - Phone:925-818-8721
Mailing Address - Fax:
Practice Address - Street 1:190 N WIGET LN STE 275
Practice Address - Street 2:
Practice Address - City:WALNUT CREEK
Practice Address - State:CA
Practice Address - Zip Code:94598-5922
Practice Address - Country:US
Practice Address - Phone:925-285-5331
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-07-10
Last Update Date:2024-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA133074106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist