Provider Demographics
NPI:1659464972
Name:BERLIN, CAROLINE (MA, MFCC)
Entity Type:Individual
Prefix:MS
First Name:CAROLINE
Middle Name:
Last Name:BERLIN
Suffix:
Gender:F
Credentials:MA, MFCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:107 W OAK ST APT 8
Mailing Address - Street 2:
Mailing Address - City:OJAI
Mailing Address - State:CA
Mailing Address - Zip Code:93023-2645
Mailing Address - Country:US
Mailing Address - Phone:805-640-9600
Mailing Address - Fax:805-640-9600
Practice Address - Street 1:309 E ALISO ST UNIT 3
Practice Address - Street 2:
Practice Address - City:OJAI
Practice Address - State:CA
Practice Address - Zip Code:93023-4608
Practice Address - Country:US
Practice Address - Phone:805-640-9600
Practice Address - Fax:805-640-9600
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-30
Last Update Date:2008-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC28266101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health