Provider Demographics
NPI:1073913695
Name:CACHU, LILLIANA OLIVIA
Entity Type:Individual
Prefix:
First Name:LILLIANA
Middle Name:OLIVIA
Last Name:CACHU
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:LILLIANA
Other - Middle Name:OLIVIA
Other - Last Name:CORIA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMFT
Mailing Address - Street 1:5740 RALSTON ST STE 200
Mailing Address - Street 2:
Mailing Address - City:VENTURA
Mailing Address - State:CA
Mailing Address - Zip Code:93003-6009
Mailing Address - Country:US
Mailing Address - Phone:805-289-3383
Mailing Address - Fax:
Practice Address - Street 1:4651 TELEPHONE RD STE 100
Practice Address - Street 2:
Practice Address - City:VENTURA
Practice Address - State:CA
Practice Address - Zip Code:93003
Practice Address - Country:US
Practice Address - Phone:805-654-5570
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-09-02
Last Update Date:2018-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA103654106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist