Organization
ACACIA PSYCHOLOGICAL CORPORATION
Active
Parent organization
ACACIA PSYCHOLOGICAL CORPORATION
Other names
Acacia Counseling and Wellness
Organization subpart
Yes
Provider details
NPI number
Legal business name
ACACIA PSYCHOLOGICAL CORPORATION
Authorized official
HARLAN KEITH HIGGINBOTHAM PSYD (CEO/CO-OWNER)
(888) 699-4873
Entity
Organization
Contact information
Practice address
325 W ADAMS BLVD STE A, LOS ANGELES, CA 90007-2659
(888) 699-4873
(805) 472-6099
Mailing address
281 MAGNOLIA AVE STE 300, GOLETA, CA 93117-3608
(888) 699-4873
(805) 472-6099
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
11/19/2020
Last updated
11/19/2020
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