Cac College Street Center | |
648 N G St Lompoc CA 93436-5360 | |
(805) 737-7272 | |
(805) 727-7278 |
Full Name | Cac College Street Center |
---|---|
Speciality | Counselor - Mental Health |
Location | 648 N G St, Lompoc, California |
Authorized Official Name and Position | David Laurel Scott (CLINICAL SERVICES ANALYST) |
Authorized Official Contact | 8052604676 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Cac College Street Center 648 N G St Lompoc CA 93436-5360 Ph: (805) 737-7272 | Cac College Street Center 648 N G St Lompoc CA 93436-5360 Ph: (805) 737-7272 |
NPI Number | 1447775028 |
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Provider Enumeration Date | 08/04/2017 |
Last Update Date | 07/21/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1447775028 | NPI | - | NPPES |
1457553174 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | 28718 (California) | Primary |
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