Provider Demographics
NPI:1871653709
Name:O'GARA, BABARA CAROLE (LCS 19166)
Entity Type:Individual
Prefix:MS
First Name:BABARA
Middle Name:CAROLE
Last Name:O'GARA
Suffix:
Gender:F
Credentials:LCS 19166
Other - Prefix:
Other - First Name:BARBARA
Other - Middle Name:CAROLE
Other - Last Name:OGARA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW 19166
Mailing Address - Street 1:88 TABLE MT BLVD.
Mailing Address - Street 2:
Mailing Address - City:OROVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:95965-3635
Mailing Address - Country:US
Mailing Address - Phone:530-538-2158
Mailing Address - Fax:530-533-7188
Practice Address - Street 1:109 PARMAC RD.
Practice Address - Street 2:STE #4
Practice Address - City:CHICO
Practice Address - State:CA
Practice Address - Zip Code:95926-2218
Practice Address - Country:US
Practice Address - Phone:530-891-2850
Practice Address - Fax:530-895-6549
Is Sole Proprietor?:No
Enumeration Date:2006-12-11
Last Update Date:2012-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCS 191661041C0700X
CALCS191661041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical