Camarillo Center For Individual And Family Counseling, INC.
Counselor, Mental Health in Camarillo, CA. Organization (NPI-2).
NPI number1780150276
StatusActive
Last updated in NPPESOct 23, 2018
Details
- NPI
- 1780150276
- Entity type
- Organization (NPI-2)
- Legal business name
- Camarillo Center For Individual And Family Counseling, INC.
- Organization subpart
- No
- Enumeration date
- Oct 23, 2018
- Last updated
- Oct 23, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | – | – | Yes |
| 261QM0850X | Clinic/Center, Adult Mental Health | – | – | |
| 261QM0855X | Clinic/Center, Adolescent and Children Mental Health | – | – |
Practice location
1601 Carmen Dr Ste 102Camarillo, CA 93010-3103
Phone 805-625-3786 · Fax 805-427-9047
Mailing address
1601 Carmen Dr Ste 102Camarillo, CA 93010-3103
Phone 805-625-3786 · Fax 805-427-9047
Authorized official
Leslie Elizabeth Miranda
President
8056253786
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