# COMMUNITY DRUG COUNCIL

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Community Counseling and Education Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1255410403
- **Authorized official:** MS. BARBARA ANN HUMPHRIES (EXECUTIVE DIRECTIR)
- **Authorized official phone:** (510) 792-4964

## Contact information

- **Practice address:** 3775 BEACON AVENUE, 2ND FLOOR, FREMONT, CA 94538
- **Practice address phone:** (510) 792-4964
- **Practice address fax:** (510) 792-4928
- **Mailing address:** 3775 BEACON AVENUE, 2ND FLOOR, FREMONT, CA 94538
- **Mailing address phone:** (510) 792-4964
- **Mailing address fax:** (510) 792-4928

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | — |
| 101YM0800X | Mental Health Counselor | — | — | — |
| 103T00000X | Psychologist | — | NULL | — |
| 103T00000X | Psychologist | — | — | — |
| 1041C0700X | Clinical Social Worker | — | NULL | — |
| 1041C0700X | Clinical Social Worker | — | — | — |
| 106H00000X | Marriage & Family Therapist | — | NULL | Yes |
| 106H00000X | Marriage & Family Therapist | — | — | Yes |

## Other

- **Enumeration date:** 11/06/2006
- **Last updated:** 07/27/2007