Healthcare Provider Details

I. General information

NPI: 1003750126
Provider Name (Legal Business Name): JOAN WILLICOMBE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/17/2026
Last Update Date: 04/17/2026
Certification Date: 04/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

22 W MICHELTORENA ST STE B
SANTA BARBARA CA
93101-6525
US

IV. Provider business mailing address

661 LAS ALTURAS RD
SANTA BARBARA CA
93103-2105
US

V. Phone/Fax

Practice location:
  • Phone: 805-570-0084
  • Fax:
Mailing address:
  • Phone: 805-570-0084
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State

VIII. Authorized Official

Name: JOAN WILLICOMBE
Title or Position: SOLE PRACTITIONER
Credential: LMFT
Phone: 805-570-0084