| Coast Therapy Associates, Inc. | |
|
950 Los Osos Valley Rd Ste E Los Osos CA 93402-3248 | |
| (805) 550-6184 | |
| Not Available |
| Full Name | Coast Therapy Associates, Inc. |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 950 Los Osos Valley Rd Ste E, Los Osos, California |
| Authorized Official Name and Position | Jessica Irving (OWNER, CLINICAL DIRECTOR) |
| Authorized Official Contact | 8055506184 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Coast Therapy Associates, Inc. 950 Los Osos Valley Rd Ste E Los Osos CA 93402-3248 Ph: (805) 550-6184 | Coast Therapy Associates, Inc. 950 Los Osos Valley Rd Ste E Los Osos CA 93402-3248 Ph: (805) 550-6184 |
| NPI Number | 1386330231 |
|---|---|
| Provider Enumeration Date | 04/13/2023 |
| Last Update Date | 04/13/2023 |
| Certification Date | 04/13/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386330231 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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