Provider Demographics
NPI:1710591615
Name:BARTHOLOMEW, MEGAN (LPCC13966)
Entity type:Individual
Prefix:MRS
First Name:MEGAN
Middle Name:
Last Name:BARTHOLOMEW
Suffix:
Gender:F
Credentials:LPCC13966
Other - Prefix:
Other - First Name:MEGAN
Other - Middle Name:
Other - Last Name:REYES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:32348 SHALLOT CT
Mailing Address - Street 2:
Mailing Address - City:WINCHESTER
Mailing Address - State:CA
Mailing Address - Zip Code:92596-9105
Mailing Address - Country:US
Mailing Address - Phone:951-675-7801
Mailing Address - Fax:
Practice Address - Street 1:32348 SHALLOT CT
Practice Address - Street 2:
Practice Address - City:WINCHESTER
Practice Address - State:CA
Practice Address - Zip Code:92596-9105
Practice Address - Country:US
Practice Address - Phone:951-675-7801
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-09-08
Last Update Date:2025-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALPCC13966101YP2500X, 101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional