Organization
CAMARILLO CENTER FOR INDIVIDUAL AND FAMILY COUNSELING, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LESLIE ELIZABETH MIRANDA (PRESIDENT)
(805) 625-3786
Entity
Organization
Contact information
Practice address
1601 CARMEN DR STE 102, CAMARILLO, CA 93010-3103
(805) 625-3786
(805) 427-9047
Mailing address
1601 CARMEN DR STE 102, CAMARILLO, CA 93010-3103
(805) 625-3786
(805) 427-9047
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
10/23/2018
Last updated
10/23/2018
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