Provider Demographics
NPI:1295947802
Name:COMINI, CAROLYN ALYANE (MFT)
Entity type:Individual
Prefix:MS
First Name:CAROLYN
Middle Name:ALYANE
Last Name:COMINI
Suffix:
Gender:F
Credentials:MFT
Other - Prefix:MS
Other - First Name:CAROLYN
Other - Middle Name:ALYANE
Other - Last Name:COMINI
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MFT
Mailing Address - Street 1:5833 GREENLEAF AVE
Mailing Address - Street 2:5833 GREENLEAF AVE
Mailing Address - City:WHITTIER
Mailing Address - State:CA
Mailing Address - Zip Code:90601-3515
Mailing Address - Country:US
Mailing Address - Phone:562-693-8229
Mailing Address - Fax:
Practice Address - Street 1:7901 PAINTER AVE
Practice Address - Street 2:SUITE #3
Practice Address - City:WHITTIER
Practice Address - State:CA
Practice Address - Zip Code:90602-2401
Practice Address - Country:US
Practice Address - Phone:562-945-9341
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFT 44368106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist