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NPI 1699483321

NPI 1699483321 : CONTENTA COLLABORATIVE THERAPY CENTER : SANTA MARIA, CA

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General NPI Number Information
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    NPI Number           |    1699483321
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    Entity Type          |    Organization 
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    Legal Business Name  |    CONTENTA COLLABORATIVE THERAPY CENTER 
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Dates
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    Enumeration Date     |    11/10/2022
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    Last Update Date     |    06/16/2025
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Provider Practice Location Address
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    Address Line         |    800 S BROADWAY STE 209 
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    City                 |    SANTA MARIA
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    State                |    CA
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    Zip                  |    93454-6623
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    Country              |    US
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    Telephone            |    831-324-8752
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    PO BOX 2483 
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    City                 |    ORCUTT
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    State                |    CA
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    Zip                  |    93457-2483
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    Country              |    US
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    Telephone            |    831-324-8752
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    Fax                  |    
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Authorized Official
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    Title or Position    |    CEO
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    Name                 |     JULIANNE  MORENO 
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    Credential           |    LCSW
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    Telephone            |    805-369-1238
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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       |    
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    License Number State |    
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