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General NPI Number Information
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NPI Number | 1366994634
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Entity Type | Organization
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Legal Business Name | CENTRAL COAST EMPLOYEE ASSISTANCE & COUNSELING SERVICES
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Dates
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Enumeration Date | 11/02/2016
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Last Update Date | 11/02/2016
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Provider Practice Location Address
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Address Line | 1107 JOHNSON AVE
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City | SAN LUIS OBISPO
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State | CA
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Zip | 93401-3303
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Country | US
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Telephone | 805-542-0100
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Fax |
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Provider Business Mailing Address
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Address Line | 1107 JOHNSON AVE
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City | SAN LUIS OBISPO
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State | CA
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Zip | 93401-3303
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PSYCHOLOGICAL ASSISTANT
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Name | DR. BRITTANY ALESHIRE
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Credential |
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Telephone | 805-542-0100
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | PSB94022988
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License Number State | CA
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