Provider Demographics
NPI:1730197146
Name:BOTAITIS, NICOLE ARETE (LMFT, LPCC)
Entity type:Individual
Prefix:MS
First Name:NICOLE
Middle Name:ARETE
Last Name:BOTAITIS
Suffix:
Gender:F
Credentials:LMFT, LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 23337
Mailing Address - Street 2:
Mailing Address - City:SANTA BARBARA
Mailing Address - State:CA
Mailing Address - Zip Code:93121-3337
Mailing Address - Country:US
Mailing Address - Phone:415-786-7533
Mailing Address - Fax:
Practice Address - Street 1:817 GARDEN ST STE 200
Practice Address - Street 2:
Practice Address - City:SANTA BARBARA
Practice Address - State:CA
Practice Address - Zip Code:93101-7473
Practice Address - Country:US
Practice Address - Phone:805-636-9890
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-03
Last Update Date:2023-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA47319106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist