Provider Demographics
NPI:1578710117
Name:KAMINER, ELIZABETH WRIGHT
Entity Type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:WRIGHT
Last Name:KAMINER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4025 FOOTHILL RD
Mailing Address - Street 2:
Mailing Address - City:SANTA BARBARA
Mailing Address - State:CA
Mailing Address - Zip Code:93110-1209
Mailing Address - Country:US
Mailing Address - Phone:805-683-1991
Mailing Address - Fax:805-683-5176
Practice Address - Street 1:4025 FOOTHILL RD
Practice Address - Street 2:
Practice Address - City:SANTA BARBARA
Practice Address - State:CA
Practice Address - Zip Code:93110-1209
Practice Address - Country:US
Practice Address - Phone:805-683-1991
Practice Address - Fax:805-683-5176
Is Sole Proprietor?:No
Enumeration Date:2008-08-26
Last Update Date:2008-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)