# BEACHSIDE COUNSELING

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1083909022
- **Authorized official:** MR. NYLE FRIESEN (OWNER/OPERATOR)
- **Authorized official phone:** (805) 202-8988

## Contact information

- **Practice address:** 200 S 13TH ST, STE. 105, GROVER BEACH, CA 93433-3302
- **Practice address phone:** (805) 202-8988
- **Practice address fax:** (805) 202-8980
- **Mailing address:** 200 S 13TH ST, STE. 105, GROVER BEACH, CA 93433-3302
- **Mailing address phone:** (805) 202-8988
- **Mailing address fax:** (805) 202-8980

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 106H00000X | Marriage & Family Therapist | MFC41086 | CA | Yes |

## Other

- **Enumeration date:** 06/17/2011
- **Last updated:** 06/17/2011