Healthcare Provider Details

I. General information

NPI: 1710804653
Provider Name (Legal Business Name): BAKERSFIELD ARC INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/01/2026
Last Update Date: 07/01/2026
Certification Date: 07/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4500 CALIFORNIA AVE
BAKERSFIELD CA
93309-7029
US

IV. Provider business mailing address

4500 CALIFORNIA AVE
BAKERSFIELD CA
93309-7029
US

V. Phone/Fax

Practice location:
  • Phone: 661-834-2272
  • Fax:
Mailing address:
  • Phone: 661-834-2272
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State

VIII. Authorized Official

Name: MR. CHARLES JOSEPH VAN DE VOORDE JR.
Title or Position: VICE PRESIDENT
Credential: B.P.A & RADT
Phone: 661-384-4034