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General NPI Number Information
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NPI Number | 1023494945
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Entity Type | Organization
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Legal Business Name | SANTA BARBARA COUNTY ALCOGOL, DRUG & MENTAL HEALTH SERVICES
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Dates
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Enumeration Date | 08/03/2015
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Last Update Date | 08/03/2015
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Provider Practice Location Address
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Address Line | 66 S. SAN ANTONIO ROAD
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City | SANTA BARBARA
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State | CA
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Zip | 93110
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Country | US
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Telephone | 805-884-1604
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Fax | 805-884-1631
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Provider Business Mailing Address
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Address Line | 300 N. SAN ANTONIO ROAD
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City | SANTA BARBARA
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State | CA
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Zip | 93110
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Country | US
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Telephone | 805-681-5220
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Fax |
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Authorized Official
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Title or Position | QCM COORDINATOR
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Name | MS. TAMMY LYNN SUMMERS
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Credential | LMFT
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Telephone | 805-934-6542
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | LCSW 27825
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License Number State | CA
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