Provider Demographics
NPI:1558404756
Name:CREATIVE VOCATIONAL CONSULTANTS
Entity Type:Organization
Organization Name:CREATIVE VOCATIONAL CONSULTANTS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JAVIER
Authorized Official - Middle Name:
Authorized Official - Last Name:CARRANZA
Authorized Official - Suffix:
Authorized Official - Credentials:MA
Authorized Official - Phone:805-928-7975
Mailing Address - Street 1:PO BOX 6687
Mailing Address - Street 2:
Mailing Address - City:SANTA MARIA
Mailing Address - State:CA
Mailing Address - Zip Code:93456-6687
Mailing Address - Country:US
Mailing Address - Phone:805-928-7975
Mailing Address - Fax:805-928-7975
Practice Address - Street 1:200 E FESLER ST
Practice Address - Street 2:SUITE 206
Practice Address - City:SANTA MARIA
Practice Address - State:CA
Practice Address - Zip Code:93454-4467
Practice Address - Country:US
Practice Address - Phone:805-928-7975
Practice Address - Fax:805-928-7975
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-15
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty