Lataillade, Carissa Ariel

Lataillade, Carissa Ariel is an individual health care provider with primary practice located at 20201 Fairweather St , Canyon Country CA 91351-1050. She recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as her primary health care specialty. Lataillade, Carissa Ariel can be contacted via phone (661) 655-2779.

Contact Information

Primary practice address
20201 Fairweather St Canyon Country CA 91351-1050
Phone: (661) 655-2779
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 144727 California

Profile Details

NPI number 1144862384
LBN Legal business name Lataillade, Carissa Ariel
Credentials LMFT
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 9th, 2019
Last updated Sep 3rd, 2026 - about last month

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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