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Organization
GARCIA FCC
Active
Organization
GARCIA FCC
Active
Parent organization
COMMUNITY ACTION COMMSSION
Other names
Graciela Garcia
Organization subpart
Yes
Provider details
NPI number
Legal business name
COMMUNITY ACTION COMMSSION
Authorized official
DR. DAVID LAUREL SCOTT PSY.D., LMFT (CLINICAL SERVICES DIRECTOR)
(805) 260-4676
Entity
Organization
Contact information
Practice address
1036 GAYLENE DR, SANTA MARIA, CA 93458-1221
(805) 922-9300
Mailing address
1036 GAYLENE DR, SANTA MARIA, CA 93458-1221
(805) 922-9300
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1306048905
—
CA
Enumeration date
09/02/2017
Last updated
07/21/2022
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