Organization
COUNTY OF KERN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES WATERMAN PHD (INTERIM DIRECTOR)
(661) 868-6600
Entity
Organization
Contact information
Practice address
1021 4TH ST, SUITE B, TAFT, CA 93268-2433
(661) 763-8660
(661) 765-6981
Mailing address
PO BOX 1000, BAKERSFIELD, CA 93302-1000
(661) 868-6600
(661) 868-6666
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
101YS0200X
School Counselor
—
—
103T00000X
Psychologist
—
—
103TA0400X
Addiction (Substance Use Disorder) Psychologist
—
—
103TF0000X
Family Psychologist
—
—
103TS0200X
School Psychologist
—
—
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
—
—
106H00000X
Marriage & Family Therapist
—
—
163W00000X
Registered Nurse
—
—
171M00000X
Case Manager/Care Coordinator
—
—
2084P0800X
Psychiatry Physician
—
—
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
15AR
—
CA
05
—
15AU
—
CA
Enumeration date
06/04/2007
Last updated
07/23/2008
Update your record
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