Provider Demographics
NPI:1265727119
Name:MORROW, CAROL CHRISTINE
Entity type:Individual
Prefix:
First Name:CAROL
Middle Name:CHRISTINE
Last Name:MORROW
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:550 FESLER ST
Mailing Address - Street 2:SUITE G3
Mailing Address - City:EL CAJON
Mailing Address - State:CA
Mailing Address - Zip Code:92020-1959
Mailing Address - Country:US
Mailing Address - Phone:619-588-5361
Mailing Address - Fax:619-588-5421
Practice Address - Street 1:550 FESLER ST
Practice Address - Street 2:SUITE G3
Practice Address - City:EL CAJON
Practice Address - State:CA
Practice Address - Zip Code:92020-1959
Practice Address - Country:US
Practice Address - Phone:619-588-5361
Practice Address - Fax:619-588-5421
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-17
Last Update Date:2011-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)