Individual provider · Type 1 NPI

Colleen Sally

Student in an Organized Health Care Education/Training Program · Santa Cruz, CA

NPI number 1689270241 Active

Practice location

380 Encinal St
Santa Cruz, CA 95060-2178

Call (831) 400-6061 Map

Fax (831) 400-6061

Mailing address

1804 Mission St Unit 300
Santa Cruz, CA 95060-5262

Other practice locations

  • 31625 US 101, Soledad, CA 93960 · (831) 678-5500

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed
Professional Counselor 101YP2500XAPCC20786 (CA)
Marriage & Family Therapist 106H00000XAMFT158563 (CA)
Addiction (Substance Use Disorder) Counselor 101YA0400XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

15 other providers at this address

Other student in an organized health care education/training program providers in Santa Cruz

See all in Santa Cruz →

About NPI 1689270241

Colleen Sally's National Provider Identifier is 1689270241, issued on Dec 9, 2020. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Santa Cruz, CA. The record was last updated on Oct 22, 2026.