Provider Demographics
NPI:1558437053
Name:CACHO, JANET CAROL (PHD)
Entity Type:Individual
Prefix:MRS
First Name:JANET
Middle Name:CAROL
Last Name:CACHO
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:MISS
Other - First Name:JANET
Other - Middle Name:CAROL
Other - Last Name:BILLING
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1568 6TH AVE
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92101-3216
Mailing Address - Country:US
Mailing Address - Phone:619-235-2600
Mailing Address - Fax:619-696-9573
Practice Address - Street 1:1568 6TH AVE
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92101-3216
Practice Address - Country:US
Practice Address - Phone:619-235-2600
Practice Address - Fax:619-696-9573
Is Sole Proprietor?:No
Enumeration Date:2006-11-27
Last Update Date:2012-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YM0800X
CA25390103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health