| Reset Summer Camp | |
|
955 La Paz Rd Santa Barbara CA 93108-1023 | |
| (909) 973-4792 | |
| Not Available |
| Full Name | Reset Summer Camp |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 955 La Paz Rd, Santa Barbara, California |
| Authorized Official Name and Position | Shelly Gutensohn (CLINICAL DIRECTOR) |
| Authorized Official Contact | 9099734792 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Reset Summer Camp 13100 Valleyheart Dr Apt 206 Studio City CA 91604-1927 Ph: (909) 973-4792 | Reset Summer Camp 955 La Paz Rd Santa Barbara CA 93108-1023 Ph: (909) 973-4792 |
| NPI Number | 1346949815 |
|---|---|
| Provider Enumeration Date | 02/23/2023 |
| Last Update Date | 02/23/2023 |
| Certification Date | 02/23/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346949815 | NPI | - | NPPES |
| 1699394676 | Other | CA | TYPE 1 NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
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