Provider Demographics
NPI:1831370717
Name:RANES, KARA (MA)
Entity type:Individual
Prefix:
First Name:KARA
Middle Name:
Last Name:RANES
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:KARA
Other - Middle Name:LEIGH
Other - Last Name:MARSEGLIA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1180 CALLE MARGARITA
Mailing Address - Street 2:
Mailing Address - City:THOUSAND OAKS
Mailing Address - State:CA
Mailing Address - Zip Code:91360-4859
Mailing Address - Country:US
Mailing Address - Phone:805-402-3853
Mailing Address - Fax:
Practice Address - Street 1:153399 SATICOY STREET
Practice Address - Street 2:
Practice Address - City:VAN NUYS
Practice Address - State:CA
Practice Address - Zip Code:91406
Practice Address - Country:US
Practice Address - Phone:818-267-2619
Practice Address - Fax:805-483-2255
Is Sole Proprietor?:No
Enumeration Date:2007-11-19
Last Update Date:2022-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC53012106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist