| Community Counseling Center | |
|
1129 Marsh St San Luis Obispo CA 93401-3323 | |
| (805) 543-7969 | |
| (805) 543-0859 |
| Full Name | Community Counseling Center |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1129 Marsh St, San Luis Obispo, California |
| Authorized Official Name and Position | James Logan Statler (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 8055437969 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Community Counseling Center 1129 Marsh St San Luis Obispo CA 93401-3323 Ph: (805) 543-7969 | Community Counseling Center 1129 Marsh St San Luis Obispo CA 93401-3323 Ph: (805) 543-7969 |
| NPI Number | 1730633207 |
|---|---|
| Provider Enumeration Date | 08/12/2016 |
| Last Update Date | 08/12/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730633207 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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