=====================================================
General NPI Number Information
=====================================================
NPI Number | 1730074006
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | LUCIA MAR UNIFIED SCHOOL DISTRICT
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 06/09/2025
-----------------------------------------------------
Last Update Date | 06/09/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1551 17TH ST
-----------------------------------------------------
City | OCEANO
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 93445-9303
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 805-474-3800
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 1551 17TH ST
-----------------------------------------------------
City | OCEANO
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 93445-9303
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone |
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | SCHOOL COUNSELOR
-----------------------------------------------------
Name | ERIN WATKINS
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 805-474-3800
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 101YS0200X
-----------------------------------------------------
Taxonomy Name | School Counselor
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------