NPI | 1811755358 |
---|---|
Doing Business As | BLUE COAST THERAPY |
Entity Type | Organization |
Authorized Contact | KALINA COLLEEN A NOELLE Director 424-262-8388 |
Organization Subpart ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical |
Additional Taxonomies | 101Y00000X Counselor |
101YP1600X Counselor, Pastoral | |
103G00000X Clinical Neuropsychologist | |
106H00000X Marriage & Family Therapist | |
111N00000X Chiropractor | |
133NN1002X Nutritionist, Nutrition, Education | |
171400000X Health & Wellness Coach | |
172V00000X Community Health Worker | |
374K00000X | |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2024-03-11 |
Last Update Date | 2024-03-12 |