Organization · Type 2 NPI

Family Service Agency of the Central Coast

Mental Health Counselor · Santa Cruz, CA

NPI number 1104994136 Active

Practice location

104 Walnut Ave, Suite 208
Santa Cruz, CA 95060-3900

Fax (831) 423-9444

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed
Psychologist 103T00000XNone listed
Social Worker 104100000XNone listed

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About NPI 1104994136

Family Service Agency of the Central Coast's National Provider Identifier is 1104994136, issued on Nov 30, 2006. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Santa Cruz, CA. The record was last updated on May 9, 2018.