Provider Demographics
NPI:1225621709
Name:OVIEDO-MUNOZ, CAROLINA (AMFT)
Entity Type:Individual
Prefix:
First Name:CAROLINA
Middle Name:
Last Name:OVIEDO-MUNOZ
Suffix:
Gender:F
Credentials:AMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2220 OTAY LAKES RD STE 502-711
Mailing Address - Street 2:
Mailing Address - City:CHULA VISTA
Mailing Address - State:CA
Mailing Address - Zip Code:91915-1004
Mailing Address - Country:US
Mailing Address - Phone:619-656-8484
Mailing Address - Fax:
Practice Address - Street 1:740 10TH ST
Practice Address - Street 2:
Practice Address - City:IMPERIAL BEACH
Practice Address - State:CA
Practice Address - Zip Code:91932-2216
Practice Address - Country:US
Practice Address - Phone:619-906-5323
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-02-16
Last Update Date:2023-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA134049106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist