Individual
CAITLIN REBEKAH WELLWOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
110B MISSION DR, CAMARILLO, CA 93010-2022
(805) 607-3400
Mailing address
110B MISSION DR, CAMARILLO, CA 93010-2022
(805) 607-3400
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
56CC
ASPIRA
CA
Enumeration date
05/21/2015
Last updated
05/21/2015
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