| Acacia Counseling & Wellness | |
|
207 E St Ste B Davis CA 95616-4523 | |
| (805) 472-6099 | |
| (805) 472-6099 |
| Full Name | Acacia Counseling & Wellness |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 207 E St Ste B, Davis, California |
| Authorized Official Name and Position | Jess Rodriguez (CHIEF BUSINESS OFFICER) |
| Authorized Official Contact | 8054726099 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Acacia Counseling & Wellness 281 Magnolia Ave Ste 300 Goleta CA 93117-3608 Ph: (805) 472-6099 | Acacia Counseling & Wellness 207 E St Ste B Davis CA 95616-4523 Ph: (805) 472-6099 |
| NPI Number | 1295279883 |
|---|---|
| Provider Enumeration Date | 12/15/2016 |
| Last Update Date | 02/26/2020 |
| Certification Date | 02/26/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295279883 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 26685 (California) | Primary |
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