| NPI | 1013258185 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOUGLAS RAYMOND MOES Ccdo 805-915-9912 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YM0800X Counselor Mental Health | |
| 101YS0200X Counselor School | |
| 103TC0700X Psychologist Clinical | |
| 103TS0200X Psychologist School | |
| 104100000X Social Worker | |
| 251300000X Local Education Agency (LEA) (Licence: NY 017300) | |
| Enumeration Date | 2013-03-13 |
| Last Update Date | 2022-09-12 |