North Coast Counseling | |
826 Second St Encinitas CA 92024-4408 | |
(760) 436-1883 | |
(760) 436-9862 |
Full Name | North Coast Counseling |
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Speciality | Social Worker |
Location | 826 Second St, Encinitas, California |
Authorized Official Name and Position | Ellen M Sanschagrin (CO OWNER OF CORPORATION) |
Authorized Official Contact | 7604361883 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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North Coast Counseling 826 Second St Encinitas CA 92024-4408 Ph: (760) 436-1883 | North Coast Counseling 826 Second St Encinitas CA 92024-4408 Ph: (760) 436-1883 |
NPI Number | 1619044492 |
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Provider Enumeration Date | 11/29/2006 |
Last Update Date | 11/30/2010 |
Medicare PECOS PAC ID | 4789646647 |
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Medicare Enrollment ID | O20041102000921 |
Identifier | Type | State | Issuer |
---|---|---|---|
1619044492 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
104100000X | Social Worker | LCS11666 (California) | Primary |
104100000X | Social Worker | LCS11440 (California) | Secondary |
104100000X | Social Worker | LCS23035 (California) | Secondary |
Provider Name | Ellen M Sanschagrin |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1972670339 PECOS PAC ID: 9931184157 Enrollment ID: I20040622000906 |
Provider Name | Terry P Hendlin |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1093891970 PECOS PAC ID: 8325162886 Enrollment ID: I20100907000090 |
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