| Family Service Agency Of The Central Coast | |
|
104 Walnut Ave Suite 208 Santa Cruz CA 95060-3900 | |
| (831) 423-9444 | |
| (831) 423-1532 |
| Full Name | Family Service Agency Of The Central Coast |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 104 Walnut Ave, Santa Cruz, California |
| Authorized Official Name and Position | David A Bianchi (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 8314239444 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Service Agency Of The Central Coast 104 Walnut Ave Suite 208 Santa Cruz CA 95060-3900 Ph: (831) 423-9444 | Family Service Agency Of The Central Coast 104 Walnut Ave Suite 208 Santa Cruz CA 95060-3900 Ph: (831) 423-9444 |
| NPI Number | 1790843167 |
|---|---|
| Provider Enumeration Date | 12/05/2006 |
| Last Update Date | 12/23/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790843167 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (California) | Secondary |
| 103T00000X | Psychologist | (California) | Secondary |
| 1041C0700X | Social Worker - Clinical | (California) | Primary |
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