Coastline Family Counseling Group, Corp | |
325 Carlsbad Village Dr Ste F2 Carlsbad CA 92008-2928 | |
(760) 525-2482 | |
Not Available |
Full Name | Coastline Family Counseling Group, Corp |
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Speciality | Clinic/Center |
Location | 325 Carlsbad Village Dr Ste F2, Carlsbad, California |
Authorized Official Name and Position | Rebecca Dennison (CEO/OWNER) |
Authorized Official Contact | 7605252482 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Coastline Family Counseling Group, Corp 325 Carlsbad Village Dr Ste F2 Carlsbad CA 92008-2928 Ph: (760) 525-2482 | Coastline Family Counseling Group, Corp 325 Carlsbad Village Dr Ste F2 Carlsbad CA 92008-2928 Ph: (760) 525-2482 |
NPI Number | 1922886043 |
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Provider Enumeration Date | 09/19/2023 |
Last Update Date | 09/19/2023 |
Medicare PECOS PAC ID | 7315484565 |
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Medicare Enrollment ID | O20240806000230 |
Identifier | Type | State | Issuer |
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1922886043 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
Provider Name | Rebecca Elizabeth Dennison |
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Provider Type | Practitioner - Marriage And Family Therapist |
Provider Identifiers | NPI Number: 1144524547 PECOS PAC ID: 8224575477 Enrollment ID: I20240911003959 |
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