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5266 Hollister Ave Ste 327 Santa Barbara CA 93111-2084 | |
| (805) 203-0717 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 5266 Hollister Ave Ste 327, Santa Barbara, California |
| Authorized Official Name and Position | Jack May (PRESIDENT/DIRECTOR) |
| Authorized Official Contact | 8053206165 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
1187 Coast Village Rd Ste 1 Pmb 360 Santa Barbara CA 93108-2737 Ph: (805) 203-0717 | 5266 Hollister Ave Ste 327 Santa Barbara CA 93111-2084 Ph: (805) 203-0717 |
| NPI Number | 1891205845 |
|---|---|
| Provider Enumeration Date | 10/04/2017 |
| Last Update Date | 12/04/2024 |
| Certification Date | 12/04/2024 |
| Medicare PECOS PAC ID | 7719413707 |
|---|---|
| Medicare Enrollment ID | O20241213002991 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891205845 | NPI | - | NPPES |
| Provider Name | Jack Thomas May |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1164791075 PECOS PAC ID: 8628504610 Enrollment ID: I20241213003488 |
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