Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 101YA0400X | Addiction Counselor (Substance Use Disorder) | CAS 3099 | MA |
N | 101YM0800X | Mental Health Counselor | MFT 25317 | CA |
NPI | 1003949660 |
---|---|
Provider Name | Prof. Amy E Barton-Cayton |
First Address | Capitola, CA 95010-2513 |
Second Address | Soquel, CA 95073-3100 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 13/03/2007 |
Last Update Date | 08/07/2007 |