Organization
SCOTTS VALLEY COUNSELING CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JULIE CARBONI MA (DIRECTOR/LMFT)
(408) 568-6476
Entity
Organization
Contact information
Practice address
5523 SCOTTS VALLEY DR STE 108, SCOTTS VALLEY, CA 95066-3450
(408) 568-6476
Mailing address
5523 SCOTTS VALLEY DR STE 108, SCOTTS VALLEY, CA 95066-3450
(408) 568-6476
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
42890
CA
Other
Enumeration date
10/18/2013
Last updated
08/11/2015
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