Ciara Bauldry, LMFT
Individual provider Active NPI Marriage & Family Therapist · Arroyo Grande, CA
NPI 1992931174 · NPPES record last updated Apr 8, 2021
Key facts
- NPI
- 1992931174
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Marriage & Family Therapist 106H00000X
- License
- 86800 (CA)
- Practice address
- 354 S Halcyon Rd
Arroyo Grande, CA 93420-3876 - Phone
- (805) 473-7060
- NPI assigned
- Jun 2, 2009
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 86800 | CA | MD | Marriage & Family Therapist |
| 63737 | CA | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Marriage & Family Therapist | 106H00000X | 63737 | CA | |
| Marriage & Family Therapist | 106H00000X | 86800 | CA | Yes |
Addresses
Primary practice location
354 S Halcyon Rd
Arroyo Grande, CA 93420-3876
Mailing address
2180 Johnson Ave
San Luis Obispo, CA 93401-4558
Phone (805) 781-4754
Other providers in Arroyo Grande, CA
- Marisa N Barber
- Kimberly Anne Barnett
- Rachel Barnett
- Kristy Ann Barrette
- Viorela Bauer
- Jessica Baza
- Megan Lynn Beardsley
- Melissa Beck
- Trevor Scott Beck
- Bend Chiropractic Incorporated
All providers in Arroyo Grande, CA · Marriage & Family Therapist in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 8, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.