| NPI | 1619298569 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOUGLAS RAYMOND MOES Ccdo 805-915-9912 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 101YS0200X Counselor, School |
| 103T00000X Psychologist | |
| 103TS0200X Psychologist, School | |
| 104100000X Social Worker | |
| 106H00000X Marriage & Family Therapist | |
| 251300000X Local Education Agency (LEA) | |
| 251C00000X | |
| 252Y00000X Early Intervention Provider Agency | |
| Enumeration Date | 2010-06-15 |
| Last Update Date | 2022-09-12 |