Provider Demographics
NPI:1427204411
Name:KARESH, BARBARA ELAINE (MA, MFT)
Entity Type:Individual
Prefix:MS
First Name:BARBARA
Middle Name:ELAINE
Last Name:KARESH
Suffix:
Gender:F
Credentials:MA, MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1868 CLAYTON RD STE 129
Mailing Address - Street 2:
Mailing Address - City:CONCORD
Mailing Address - State:CA
Mailing Address - Zip Code:94520-2552
Mailing Address - Country:US
Mailing Address - Phone:925-674-0908
Mailing Address - Fax:
Practice Address - Street 1:1868 CLAYTON RD STE 129
Practice Address - Street 2:
Practice Address - City:CONCORD
Practice Address - State:CA
Practice Address - Zip Code:94520-2552
Practice Address - Country:US
Practice Address - Phone:925-674-0908
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-11
Last Update Date:2008-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFT27886106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist