Provider Demographics
NPI:1265942767
Name:SLOANE, CARIN LENK (MFTI)
Entity type:Individual
Prefix:
First Name:CARIN
Middle Name:LENK
Last Name:SLOANE
Suffix:
Gender:F
Credentials:MFTI
Other - Prefix:
Other - First Name:CARIN
Other - Middle Name:LOUISE
Other - Last Name:LENK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3034 AUDUBON CIR
Mailing Address - Street 2:
Mailing Address - City:DAVIS
Mailing Address - State:CA
Mailing Address - Zip Code:95618-7605
Mailing Address - Country:US
Mailing Address - Phone:530-574-7547
Mailing Address - Fax:
Practice Address - Street 1:455 1ST ST
Practice Address - Street 2:
Practice Address - City:WOODLAND
Practice Address - State:CA
Practice Address - Zip Code:95695-4023
Practice Address - Country:US
Practice Address - Phone:530-662-2211
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-10-10
Last Update Date:2017-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA100955106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist