# CENTRAL COAST COUNSELING CENTER, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Central Coast Counseling Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1861686602
- **Authorized official:** MRS. MARY JO PEDERSEN M.S. (LMFT & OWNER OF C.C.C.C., INC.)
- **Authorized official phone:** (805) 264-2584

## Contact information

- **Practice address:** 2355 LAKE MARIE DRIVE, SANTA MARIA, CA 93455-5709
- **Practice address phone:** (805) 934-5088
- **Practice address fax:** (805) 937-0877
- **Mailing address:** P.O. BOX 2234, SANTA MARIA, CA 93457-2234
- **Mailing address phone:** (805) 264-2584
- **Mailing address fax:** (805) 937-0877

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 106H00000X | Marriage & Family Therapist | 38335 | CA | Yes |

## Other

- **Enumeration date:** 09/05/2007
- **Last updated:** 04/19/2023