| Coastal Counseling & Coaching, Inc | |
|
280 Newport Center Dr Suite 200 Newport Beach CA 92660-7526 | |
| (949) 222-6688 | |
| (949) 716-7885 |
| Full Name | Coastal Counseling & Coaching, Inc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 280 Newport Center Dr, Newport Beach, California |
| Authorized Official Name and Position | Kathleen Anne Nickerson (OWNER/PRESIDENT) |
| Authorized Official Contact | 9492226688 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Coastal Counseling & Coaching, Inc 280 Newport Center Dr Suite 200 Newport Beach CA 92660-7526 Ph: (949) 222-6688 | Coastal Counseling & Coaching, Inc 280 Newport Center Dr Suite 200 Newport Beach CA 92660-7526 Ph: (949) 222-6688 |
| NPI Number | 1437322237 |
|---|---|
| Provider Enumeration Date | 04/11/2008 |
| Last Update Date | 05/18/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437322237 | NPI | - | NPPES |
| PSY20446A | Other | CA | MEDICARE - KFN |
| 20446 | Other | CA | PSYCHOLOGY LICENSE - KFN |
| C2942646 | Other | CA | CA CORPORATION |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 20446 (California) | Primary |
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