Provider Demographics
NPI:1578710703
Name:NASH, CARRI JOANNE (LMFT)
Entity Type:Individual
Prefix:MS
First Name:CARRI
Middle Name:JOANNE
Last Name:NASH
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 1:330 TRES PINOS RD STE B2
Mailing Address - Street 2:
Mailing Address - City:HOLLISTER
Mailing Address - State:CA
Mailing Address - Zip Code:95023-5579
Mailing Address - Country:US
Mailing Address - Phone:831-214-8087
Mailing Address - Fax:831-219-7736
Practice Address - Street 1:330 TRES PINOS RD STE B2
Practice Address - Street 2:
Practice Address - City:HOLLISTER
Practice Address - State:CA
Practice Address - Zip Code:95023-5579
Practice Address - Country:US
Practice Address - Phone:831-214-8087
Practice Address - Fax:831-219-7736
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-19
Last Update Date:2013-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC 40514106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist