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401 Old San Jose Rd Soquel CA 95073-2213 | |
| (831) 429-8350 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 401 Old San Jose Rd, Soquel, California |
| Authorized Official Name and Position | Carol Pruitt (PROGRAM MANAGER) |
| Authorized Official Contact | 8314298350 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
709 Mission St Santa Cruz CA 95060-3614 Ph: () - | 401 Old San Jose Rd Soquel CA 95073-2213 Ph: (831) 429-8350 |
| NPI Number | 1467640623 |
|---|---|
| Provider Enumeration Date | 10/11/2007 |
| Last Update Date | 10/11/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467640623 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
Pacific Psychotherapy Marriage And Family Therapy Corporation Pc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3121 Park Ave Ste F, Soquel, CA 95073 Phone: 831-204-0131 | |
Mountain Elementary School District Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3042 Old San Jose Rd, Soquel, CA 95073 Phone: 831-887-8236 Fax: 831-464-7200 | |
Karen I. Michaels Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5905 Soquel Dr, Ste. 550, Soquel, CA 95073 Phone: 831-234-0314 Fax: 831-685-0350 | |