Provider Demographics
NPI:1396839262
Name:GARTON, CELIA LYNN (MS)
Entity Type:Individual
Prefix:MRS
First Name:CELIA
Middle Name:LYNN
Last Name:GARTON
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3425 S BASCOM AVE
Mailing Address - Street 2:STE A
Mailing Address - City:CAMPBELL
Mailing Address - State:CA
Mailing Address - Zip Code:95008
Mailing Address - Country:US
Mailing Address - Phone:408-369-1633
Mailing Address - Fax:408-369-1632
Practice Address - Street 1:3425 S BASCOM AVE
Practice Address - Street 2:STE A
Practice Address - City:CAMPBELL
Practice Address - State:CA
Practice Address - Zip Code:95008
Practice Address - Country:US
Practice Address - Phone:408-369-1633
Practice Address - Fax:408-369-1632
Is Sole Proprietor?:No
Enumeration Date:2006-10-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFT9272106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist