Individual
CAROLE L VANDERBILT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
21314 GARY DR APT 201, CASTRO VALLEY, CA 94546-6129
(510) 325-5332
Mailing address
3056 CASTRO VALLEY BLVD # 80, CASTRO VALLEY, CA 94546-5510
(510) 325-5332
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
REGISTERED INTERN #4
CA
Other
Enumeration date
07/01/2009
Last updated
07/01/2009
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