Organization
ACACIA PSYCHOLOGICAL CORPORATION
Active
Other names
Acacia Counseling & Wellness
Organization subpart
No
Provider details
NPI number
Authorized official
JESS RODRIGUEZ (CHIEF BUSINESS OFFICER)
(805) 472-6099
Entity
Organization
Contact information
Practice address
207 E ST STE B, DAVIS, CA 95616-4523
(805) 472-6099
(805) 472-6099
Mailing address
281 MAGNOLIA AVE STE 300, GOLETA, CA 93117-3608
(805) 472-6099
(805) 472-6099
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
26685
CA
Other
Enumeration date
12/15/2016
Last updated
02/26/2020
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