Provider Demographics
NPI:1326113788
Name:BENDER, CAROLINE HELEN (LMFT)
Entity Type:Individual
Prefix:
First Name:CAROLINE
Middle Name:HELEN
Last Name:BENDER
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4512 TONOPAH AVE
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92110-3704
Mailing Address - Country:US
Mailing Address - Phone:510-599-3494
Mailing Address - Fax:
Practice Address - Street 1:4512 TONOPAH AVE
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92110-3704
Practice Address - Country:US
Practice Address - Phone:510-599-3494
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-11-21
Last Update Date:2023-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA48308106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist