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1717 San Marcos Pass Rd Santa Barbara CA 93105-9713 | |
| (805) 681-7014 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 1717 San Marcos Pass Rd, Santa Barbara, California |
| Authorized Official Name and Position | Bradley Wayne Crable (CASEWORKER) |
| Authorized Official Contact | 18057297482 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
Po Box 61758 Santa Barbara CA 93160-1758 Ph: (805) 681-7014 | 1717 San Marcos Pass Rd Santa Barbara CA 93105-9713 Ph: (805) 681-7014 |
| NPI Number | 1043379894 |
|---|---|
| Provider Enumeration Date | 12/07/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043379894 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | CASO16286 (California) | Primary |
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