| Central Coast Emotional Wellness Licensed Clinical Social Worker | |
|
201 S Miller St Ste 107 Santa Maria CA 93454-5248 | |
| (805) 400-3721 | |
| (805) 614-7126 |
| Full Name | Central Coast Emotional Wellness Licensed Clinical Social Worker |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 201 S Miller St Ste 107, Santa Maria, California |
| Authorized Official Name and Position | Gizelle Mendoza (PRESIDENT) |
| Authorized Official Contact | 8054003721 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Central Coast Emotional Wellness Licensed Clinical Social Worker 201 S Miller St Ste 107 Santa Maria CA 93454-5248 Ph: (805) 400-3721 | Central Coast Emotional Wellness Licensed Clinical Social Worker 201 S Miller St Ste 107 Santa Maria CA 93454-5248 Ph: (805) 400-3721 |
| NPI Number | 1417759788 |
|---|---|
| Provider Enumeration Date | 03/26/2025 |
| Last Update Date | 03/26/2025 |
| Certification Date | 03/26/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417759788 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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