MEDICARE: NEW DAWN COUNSELING AND CONSULTING, INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	305R00000X	Preferred Provider Organization	MFT 42526	CA

General Provider Information

NPI Number	:	1033579784
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NEW DAWN COUNSELING AND CONSULTING, INC

Provider Business Mailing Address
First Line	:	2800 CAMINO DOS RIOS
Second Line	:	SUITE 101A
City	:	NEWBURY PARK
State	:	CA
Zip	:	91320-1138
Country	:	US
Telephone Number	:	805-604-5437
Fax Number	:

Provider Business Practice Location Address
First Line	:	1500 CAMINO DEL SOL OFC 1
Second Line	:
City	:	OXNARD
State	:	CA
Zip	:	93030-3725
Country	:	US
Telephone Number	:	805-604-5437
Fax Number	:	805-307-2595

Authorized Official
Title or Position	:	CEO
Name	:	MRS. CYNTHIA P TORRES
Credential	:
Telephone Number	:	805-604-5437

Provider Enumeration Date	:	02/23/2016
Last Update Date	:	03/22/2022

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