# BETH DAVID COUNSELING SERVICES

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Coastal Wellness Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1114373123
- **Authorized official:** CHRISTOPHER A CANCLINI LMFT (PRESIDENT)
- **Authorized official phone:** (805) 598-0631

## Contact information

- **Practice address:** 330 JAMES WAY, SUITE 180, PISMO BEACH, CA 93449-2878
- **Practice address phone:** (805) 598-0631
- **Practice address fax:** (805) 296-6178
- **Mailing address:** 330 JAMES WAY, SUITE 180, PISMO BEACH, CA 93449-2878
- **Mailing address phone:** (805) 598-0631
- **Mailing address fax:** (805) 296-6178

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 106H00000X | Marriage & Family Therapist | 53907 | CA | Yes |

## Other

- **Enumeration date:** 05/09/2016
- **Last updated:** 05/09/2016