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Organization
BETH DAVID COUNSELING SERVICES
Active
Organization
BETH DAVID COUNSELING SERVICES
Active
Other names
Coastal Wellness Center
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER A CANCLINI LMFT (PRESIDENT)
(805) 598-0631
Entity
Organization
Contact information
Practice address
330 JAMES WAY, SUITE 180, PISMO BEACH, CA 93449-2878
(805) 598-0631
(805) 296-6178
Mailing address
330 JAMES WAY, SUITE 180, PISMO BEACH, CA 93449-2878
(805) 598-0631
(805) 296-6178
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
53907
CA
Other
Enumeration date
05/09/2016
Last updated
05/09/2016
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