Organization
COUNTY OF KERN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES WATERMAN (DIRECTOR)
(661) 868-6600
Entity
Organization
Contact information
Practice address
3600 SILLECT AVE, BAKERSFIELD, CA 93308-6331
(661) 868-6100
(661) 868-6111
Mailing address
PO BOX 1000, BAKERSFIELD, CA 93302-1000
(661) 868-6600
(661) 868-6666
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
106H00000X
Marriage & Family Therapist
—
—
171M00000X
Case Manager/Care Coordinator
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
04/30/2009
Last updated
04/30/2009
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