Organization
DANDY, A LICENSED CLINICAL SOCIAL WORKER CORPORATION
Active
Other names
Destination Counseling, Licensed Clinical Social Worker
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID EDWARD RUSS LCSW (PRESIDENT)
(805) 699-5381
Entity
Organization
Contact information
Practice address
27 W ANAPAMU ST # 132, SANTA BARBARA, CA 93101-3107
(805) 699-5381
Mailing address
27 W ANAPAMU ST # 132, SANTA BARBARA, CA 93101-3107
(805) 699-5381
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
02/26/2020
Last updated
02/26/2020
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