| Joint Venture Central Coast Addiction Services, Inc | |
|
1677 Shell Beach Rd Ste 102 Shell Beach CA 93449-1930 | |
| (805) 416-7180 | |
| Not Available |
| Full Name | Joint Venture Central Coast Addiction Services, Inc |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 1677 Shell Beach Rd Ste 102, Shell Beach, California |
| Authorized Official Name and Position | Jessica Apodaca (PRESIDENT) |
| Authorized Official Contact | 8054403284 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Joint Venture Central Coast Addiction Services, Inc 1677 Shell Beach Rd Ste 102 Shell Beach CA 93449-1930 Ph: (805) 416-7180 | Joint Venture Central Coast Addiction Services, Inc 1677 Shell Beach Rd Ste 102 Shell Beach CA 93449-1930 Ph: (805) 416-7180 |
| NPI Number | 1417421298 |
|---|---|
| Provider Enumeration Date | 01/15/2019 |
| Last Update Date | 01/15/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417421298 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
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