Provider Demographics
NPI:1619913142
Name:GILL, BARBARA LOUISE (LMFT,CADACII)
Entity Type:Individual
Prefix:MS
First Name:BARBARA
Middle Name:LOUISE
Last Name:GILL
Suffix:
Gender:F
Credentials:LMFT,CADACII
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24701 LEAFWOOD DR
Mailing Address - Street 2:
Mailing Address - City:MURRIETA
Mailing Address - State:CA
Mailing Address - Zip Code:92562-4162
Mailing Address - Country:US
Mailing Address - Phone:951-677-9981
Mailing Address - Fax:
Practice Address - Street 1:28481 RANCHO CALIFORNIA RD STE 204
Practice Address - Street 2:
Practice Address - City:TEMECULA
Practice Address - State:CA
Practice Address - Zip Code:92590-3619
Practice Address - Country:US
Practice Address - Phone:951-970-5640
Practice Address - Fax:951-677-9981
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-22
Last Update Date:2018-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC42978106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA1619913142OtherMARRIAGE AND FAMILY THERAPIST