Provider Demographics
NPI:1992032106
Name:BABER, BETTE (LMFT)
Entity Type:Individual
Prefix:
First Name:BETTE
Middle Name:
Last Name:BABER
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:KUUIPO
Other - Middle Name:
Other - Last Name:BABER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 90573
Mailing Address - Street 2:
Mailing Address - City:PASADENA
Mailing Address - State:CA
Mailing Address - Zip Code:91109-0573
Mailing Address - Country:US
Mailing Address - Phone:808-830-6391
Mailing Address - Fax:
Practice Address - Street 1:2400 LOMA VISTA ST
Practice Address - Street 2:
Practice Address - City:PASADENA
Practice Address - State:CA
Practice Address - Zip Code:91104-3403
Practice Address - Country:US
Practice Address - Phone:808-830-6391
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-11-09
Last Update Date:2024-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA137533101YM0800X
101Y00000X, 101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAKUUIPO1717OtherCOUNSELOR