Provider Demographics
NPI:1750823928
Name:TALBOT, JOANNE KATHRYN (LMFT)
Entity Type:Individual
Prefix:MS
First Name:JOANNE
Middle Name:KATHRYN
Last Name:TALBOT
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:MRS
Other - First Name:JOANNE
Other - Middle Name:KATHRYN
Other - Last Name:TALBOT MILLER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:5470 WOLVERINE TER
Mailing Address - Street 2:
Mailing Address - City:CARLSBAD
Mailing Address - State:CA
Mailing Address - Zip Code:92010
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:CARLSBAD FAMILY THERAPY
Practice Address - Street 2:5470 WOLVERINE TERRACE
Practice Address - City:CARLSBAD
Practice Address - State:CA
Practice Address - Zip Code:92010
Practice Address - Country:US
Practice Address - Phone:949-933-6790
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-11-04
Last Update Date:2022-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA96208106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist