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Michelle Amber Caraballo

Marriage & Family Therapist

Behavioral Health & Social Service Providers

8881 Fletcher Pkwy Ste 350&360, La Mesa, CA 91942-3134

PECOS Enrollment

This provider is enrolled in PECOS as MICHELLE CARABALLO.

Based on the most recent information from CMS, provider Michelle Amber Caraballo is legally eligible to order and refer claims for DME services only.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 3 days ago.

Profile Details

Provider ID
1669903639
Provider Type
Individual
Full Name
Caraballo, Michelle Amber
Credential
LMFT

Gender
Female
Sole Proprietor
No
Enumeration Date
3/22/2017
Last Updated
1/30/2025

Contact Information

Practice Location

8881 Fletcher Pkwy Ste 350&360, La Mesa, CA 91942-3134

(858) 279-1223

Unlisted Fax

Mailing Location

8881 Fletcher Pkwy Ste 350&360, La Mesa, CA 91942-3134

Unlisted Phone

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 106H00000X Primary	Description Marriage & Family Therapist Behavioral Health & Social Service Providers	License 148549 California
Code 101Y00000X	Description Counselor Behavioral Health & Social Service Providers	License Unlisted Issuer California
Code 106H00000X	Description Marriage & Family Therapist Behavioral Health & Social Service Providers	License 107187 California
Code 390200000X	Description Student in an Organized Health Care Education/Training Program Student, Health Care	License Unlisted Issuer

Michelle Amber Caraballo

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

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License

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