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Cac Oak Valley Center

Organization Active NPI Mental Health Counselor · Buellton, CA

NPI 1023533692 · NPPES record last updated Jul 21, 2022

Key facts

NPI
1023533692
Entity type
Organization (NPI type 2)
Primary specialty
Mental Health Counselor 101YM0800X
License
28718 (CA)
Legal business name
CAC OAK VALLEY CENTER
Practice address
595 2ND St RM 109
Buellton, CA 93427-6801
Phone
(805) 688-6992
NPI assigned
Aug 4, 2017
Organization subpart
Yes
Parent organization (as reported)
COMMUNITY ACTION COMMSSION

Authorized official

Name
Dr. David Laurel Scott, PSY.D., LMFT
Title
Clinical Services Director
Phone
(805) 260-4676

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Corporate family (same tax ID) 38

Organizations that report the same tax identification number in the National Provider Directory.

View all 38

National Provider Directory

Tax ID family
Santiago FCC (39 organizations share this tax ID)
Part of
Santiago FCC

Locations

595 2nd St
Rm 109
Buellton, CA 93427
Phone (805) 688-6992

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor
Group: 193400000X SINGLE SPECIALTY GROUP		 101YM0800X 28718 CA Yes

Addresses

Primary practice location

595 2ND St RM 109
Buellton, CA 93427-6801

Mailing address

595 2ND St RM 109
Buellton, CA 93427-6801
Phone (805) 688-6992

Other identifiers

IdentifierTypeStateIssuer
1457553174MedicaidCA

Other providers in Buellton, CA

All providers in Buellton, CA · Mental Health Counselor in California

Sources for this page

Verify at the official NPI Registry.