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Organization
CAC MAGGIE ESPINOZA CENTER
Active
Organization
CAC MAGGIE ESPINOZA CENTER
Active
Parent organization
COMMUNITY ACTION COMMISSION
Organization subpart
Yes
Provider details
NPI number
Legal business name
COMMUNITY ACTION COMMISSION
Authorized official
DR. DAVID LAUREL SCOTT PSY.D., LMFT (CLINICAL SERVICES DIRECTOR)
(805) 260-4676
Entity
Organization
Contact information
Practice address
120 TOGNAZZINI AVE, GUADALUPE, CA 93434-1526
(805) 343-5598
(805) 343-1670
Mailing address
120 TOGNAZZINI AVE, GUADALUPE, CA 93434-1526
(805) 343-5598
(805) 343-1670
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
28718
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1306048905
—
CA
Enumeration date
08/01/2017
Last updated
07/21/2022
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