| Cac Chestnut Toddler Center | |
|
120 W Chestnut Ave Lompoc CA 93436-5913 | |
| (805) 740-4555 | |
| (805) 740-4558 |
| Full Name | Cac Chestnut Toddler Center |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 120 W Chestnut Ave, Lompoc, California |
| Authorized Official Name and Position | David Laurel Scott (CLINICAL SERVICES DIRECTOR) |
| Authorized Official Contact | 8052604676 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cac Chestnut Toddler Center 120 W Chestnut Ave Lompoc CA 93436-5913 Ph: (805) 740-4555 | Cac Chestnut Toddler Center 120 W Chestnut Ave Lompoc CA 93436-5913 Ph: (805) 740-4555 |
| NPI Number | 1225553910 |
|---|---|
| Provider Enumeration Date | 08/03/2017 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225553910 | NPI | - | NPPES |
| 1457553174 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 28718 (California) | Primary |
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