Organization
WEST COAST COUNCELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JULIA DENISE STANSBERRY (CASE MANAGER)
(562) 490-4721
Entity
Organization
Contact information
Practice address
481 W WILLOW ST, LONG BEACH, CA 90806-2843
(562) 424-6531
(562) 424-5071
Mailing address
2272 PACIFIC AVE., SUITE B, LONG BEACH, CA 90806
(562) 490-4721
(562) 490-4735
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1215105796
MEDICAL
CA
Enumeration date
02/18/2010
Last updated
02/18/2010
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