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Organization
COLLEGE COMMUNITY SERVICES
Active
Organization
COLLEGE COMMUNITY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMY DIANE SANCHEZ (MFT TRAINEE)
(661) 546-6367
Entity
Organization
Contact information
Practice address
2821 H ST, BAKERSFIELD, CA 93301-1913
(661) 546-6365
Mailing address
4821 KATELLA AVE, SUITE 201, LOS ALAMITOS, CA 90720
(661) 546-6365
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/25/2021
Last updated
03/08/2022
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