Organization
COMMUNITY COUNSELING & EDUCATION CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BARBARA ANN HUMPHREYS (EXECUTIVE DIRECTOR)
(510) 792-3129
Entity
Organization
Contact information
Practice address
3775 BEACON AVE, SUITE 2, FREMONT, CA 94538-1465
(510) 792-3129
(510) 792-4928
Mailing address
3775 BEACON AVE, SUITE 2, FREMONT, CA 94538
(510) 792-3129
(510) 792-4928
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
101YA0400X
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
101YA0400X
DRUG & ALCOHOL COUNSELOR
CA
Enumeration date
12/20/2007
Last updated
12/20/2007
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