Provider Demographics
NPI:1396857314
Name:TARIBO, DORCAS NAOMI (LMFT)
Entity Type:Individual
Prefix:MRS
First Name:DORCAS
Middle Name:NAOMI
Last Name:TARIBO
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 1:4781 SAVOIE WAY
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95835-2016
Mailing Address - Country:US
Mailing Address - Phone:916-419-0516
Mailing Address - Fax:916-419-0516
Practice Address - Street 1:3550 WATT AVE STE 180
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95821-2698
Practice Address - Country:US
Practice Address - Phone:916-606-2843
Practice Address - Fax:916-606-2843
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA42547106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist