| NPI | 1043757925 |
|---|---|
| Doing Business As | ACACIA COUNSELING & WELLNESS |
| Entity Type | Organization |
| Authorized Contact | BRETT DONNELLY Co Owner/CEO 805-399-2511 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: MN GL0058) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: MN CC01316) |
| Enumeration Date | 2017-01-30 |
| Last Update Date | 2017-03-14 |