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Organization
FAMILY SERVICE AGENCY OF THE CENTRAL COAST
Active
Organization
FAMILY SERVICE AGENCY OF THE CENTRAL COAST
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID A BIANCHI (EXECUTIVE DIRECTOR)
(831) 423-9444
Entity
Organization
Contact information
Practice address
104 WALNUT AVE, SUITE 208, SANTA CRUZ, CA 95060-3900
(831) 423-9444
(831) 423-1532
Mailing address
104 WALNUT AVE, SUITE 208, SANTA CRUZ, CA 95060-3900
(831) 423-9444
(831) 423-1532
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
CA
103T00000X
Psychologist
—
CA
1041C0700X
Clinical Social Worker
Primary
—
CA
Other
Enumeration date
12/05/2006
Last updated
12/23/2009
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