Provider Demographics
NPI:1922518596
Name:MCCASLIN, PATRICK (LMFT)
Entity Type:Individual
Prefix:MR
First Name:PATRICK
Middle Name:
Last Name:MCCASLIN
Suffix:
Gender:M
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2186 EASTMAN AVE STE 103
Mailing Address - Street 2:
Mailing Address - City:VENTURA
Mailing Address - State:CA
Mailing Address - Zip Code:93003-7703
Mailing Address - Country:US
Mailing Address - Phone:805-288-8530
Mailing Address - Fax:
Practice Address - Street 1:2186 EASTMAN AVE STE 103
Practice Address - Street 2:
Practice Address - City:VENTURA
Practice Address - State:CA
Practice Address - Zip Code:93003-7703
Practice Address - Country:US
Practice Address - Phone:805-288-8530
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-10-09
Last Update Date:2017-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA93597106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist