Provider Demographics
NPI:1780752808
Name:CARO, MOISES (LMFT)
Entity type:Individual
Prefix:MR
First Name:MOISES
Middle Name:
Last Name:CARO
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 1:195 S. BROADWAY
Mailing Address - Street 2:SUITE 201
Mailing Address - City:ORCUTT
Mailing Address - State:CA
Mailing Address - Zip Code:93455
Mailing Address - Country:US
Mailing Address - Phone:805-757-1259
Mailing Address - Fax:
Practice Address - Street 1:195 S. BROADWAY
Practice Address - Street 2:SUITE 201
Practice Address - City:ORCUTT
Practice Address - State:CA
Practice Address - Zip Code:93455
Practice Address - Country:US
Practice Address - Phone:805-757-1259
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-30
Last Update Date:2025-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA53335106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist