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General NPI Number Information
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NPI Number | 1043346265
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Entity Type | Organization
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Legal Business Name | COUNSIL OF ALCOHOL AND DRUG ABUSE
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Dates
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Enumeration Date | 02/23/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 133 E HALEY ST
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City | SANTA BARBARA
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State | CA
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Zip | 93101-2330
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Country | US
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Telephone | 805-564-6057
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Fax |
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Provider Business Mailing Address
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Address Line | 922 CASTILLO ST APT 206
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City | SANTA BARBARA
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State | CA
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Zip | 93101-6160
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Country | US
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Telephone | 805-899-4053
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE DIRECTER
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Name | MRS. PENNY JENKINS
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Credential |
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Telephone | 805-963-1433
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number |
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License Number State |
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