Healthcare Provider Details

I. General information

NPI: 1356478010
Provider Name (Legal Business Name): COUNCIL ON ALCOHOLISM AND DRUG ABUSE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/28/2007
Last Update Date: 09/29/2025
Certification Date: 09/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

232 E CANON PERDIDO ST
SANTA BARBARA CA
93101-2242
US

IV. Provider business mailing address

PO BOX 28
SANTA BARBARA CA
93102-0028
US

V. Phone/Fax

Practice location:
  • Phone: 805-963-1433
  • Fax: 805-963-4099
Mailing address:
  • Phone: 805-963-1433
  • Fax: 805-963-4099

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number420022AN
License Number StateCA

VIII. Authorized Official

Name: CAROL CELIC
Title or Position: CONTRACTS AND GRANTS MANAGER
Credential:
Phone: 805-722-1316