Provider Demographics
NPI:1063673929
Name:CUMMINGS, CAROLYN MICHELLE (LMFT)
Entity Type:Individual
Prefix:MRS
First Name:CAROLYN
Middle Name:MICHELLE
Last Name:CUMMINGS
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:MS
Other - First Name:CAROLYN
Other - Middle Name:MICHELLE
Other - Last Name:BENNETT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1400 S UNION AVE STE 100
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93307-4179
Mailing Address - Country:US
Mailing Address - Phone:661-397-8775
Mailing Address - Fax:661-397-8286
Practice Address - Street 1:1400 S UNION AVE STE 100
Practice Address - Street 2:
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93307-4179
Practice Address - Country:US
Practice Address - Phone:661-397-8775
Practice Address - Fax:661-397-8286
Is Sole Proprietor?:No
Enumeration Date:2008-06-23
Last Update Date:2012-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA51251OtherBOARD OF BEHAVIORAL SCIENCES MARRIAGE AND FAMILY THERAPIST LICENSE NUMBER