Provider Demographics
NPI:1659588044
Name:CARABOOLAD, ARLA J (MFT, CFLE)
Entity Type:Individual
Prefix:MRS
First Name:ARLA
Middle Name:J
Last Name:CARABOOLAD
Suffix:
Gender:F
Credentials:MFT, CFLE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1460 VAQUERO DR
Mailing Address - Street 2:
Mailing Address - City:SIMI VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:93065-3039
Mailing Address - Country:US
Mailing Address - Phone:805-813-1142
Mailing Address - Fax:805-579-7957
Practice Address - Street 1:1460 VAQUERO DR
Practice Address - Street 2:
Practice Address - City:SIMI VALLEY
Practice Address - State:CA
Practice Address - Zip Code:93065-3039
Practice Address - Country:US
Practice Address - Phone:805-813-1142
Practice Address - Fax:805-579-7957
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFT29472106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist