NPI 1003218942 · live from the CMS NPI Registry
Acacia Counseling & Wellness
Psychologist, Clinical in Isla Vista, CA. National Provider Identifier 1003218942, active.
NPI record
| NPI | 1003218942 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Psychologist, Clinical 103TC0700X |
| Practice location | 6586 Picasso Rd, Isla Vista, CA 93117 |
| Practice phone | 805-699-6668 |
| Mailing address | Po Box 30910, Santa Barbara, CA 93130 |
| Enumerated | September 23, 2014 |
| Last updated | September 23, 2014 |
| Authorized official | Harlan Higginbotham, Psychologist |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychologist, Clinical primary | 103TC0700X | PSY26572 (CA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.