Provider Demographics
NPI:1548078561
Name:CHIEN, CAROLINE (AMFT)
Entity type:Individual
Prefix:
First Name:CAROLINE
Middle Name:
Last Name:CHIEN
Suffix:
Gender:F
Credentials:AMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2335 E COLORADO BLVD
Mailing Address - Street 2:STE 115, #198
Mailing Address - City:PASADENA
Mailing Address - State:CA
Mailing Address - Zip Code:91107-6833
Mailing Address - Country:US
Mailing Address - Phone:626-609-4876
Mailing Address - Fax:
Practice Address - Street 1:107 S FAIR OAKS AVE, STE 217/218
Practice Address - Street 2:
Practice Address - City:PASADENA
Practice Address - State:CA
Practice Address - Zip Code:91105-2010
Practice Address - Country:US
Practice Address - Phone:626-681-3283
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-12-23
Last Update Date:2024-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA150651106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist