Organization
COUNTY OF KERN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES WATERMAN PHD (INTERIM DIRECTOR)
(661) 868-6600
Entity
Organization
Contact information
Practice address
3416 SILLECT AVE, BAKERSFIELD, CA 93308-6363
(661) 322-6624
Mailing address
PO BOX 1000, BAKERSFIELD, CA 93302-1000
(661) 868-6600
(661) 868-6666
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
104100000X
Social Worker
—
—
106H00000X
Marriage & Family Therapist
—
—
171M00000X
Case Manager/Care Coordinator
—
—
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
11/06/2007
Last updated
07/23/2008
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