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300 North San Antonio Road Santa Barbara CA 93110-1316 | |
| (805) 681-5220 | |
| (805) 681-5262 |
| Full Name | |
|---|---|
| Speciality | Counselor |
| Location | 300 North San Antonio Road, Santa Barbara, California |
| Authorized Official Name and Position | Stephanie Diaz (QCM/COUNTY DESIGNEE) |
| Authorized Official Contact | 8059346344 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
Po Box 39 Santa Barbara CA 93102-0039 Ph: (805) 681-5220 | 300 North San Antonio Road Santa Barbara CA 93110-1316 Ph: (805) 681-5220 |
| NPI Number | 1740353861 |
|---|---|
| Provider Enumeration Date | 11/16/2006 |
| Last Update Date | 07/17/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740353861 | NPI | - | NPPES |
| HSD34125 | Medicaid | CA |
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