Organization
ACACIA PSYCHOLOGICAL CORPORATION
Active
Parent organization
ACACIA PSYCHOLOGICAL CORPORATION
Other names
Acacia Counseling & Wellness
Organization subpart
Yes
Provider details
NPI number
Legal business name
ACACIA PSYCHOLOGICAL CORPORATION
Authorized official
MS. JESS RODRIGUEZ (DIRECTOR OF BUSINESS SERVICES)
(805) 472-6099
Entity
Organization
Contact information
Practice address
8950 VILLA LA JOLLA DR STE C121, LA JOLLA, CA 92037-1707
(888) 699-4873
(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
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
11/07/2018
Last updated
12/07/2018
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