Provider Demographics
NPI:1891861753
Name:COUNTY OF SANTA BARBARA, MENTAL HEALTH
Entity Type:Organization
Organization Name:COUNTY OF SANTA BARBARA, MENTAL HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MENTAL HEALTH PRACTITIONER-INTERN
Authorized Official - Prefix:MRS
Authorized Official - First Name:DALILA
Authorized Official - Middle Name:FIGUEROA
Authorized Official - Last Name:SEPULVEDA
Authorized Official - Suffix:
Authorized Official - Credentials:MSW
Authorized Official - Phone:805-934-6190
Mailing Address - Street 1:422 CLUBHOUSE DR
Mailing Address - Street 2:
Mailing Address - City:SANTA MARIA
Mailing Address - State:CA
Mailing Address - Zip Code:93455-3633
Mailing Address - Country:US
Mailing Address - Phone:805-934-2170
Mailing Address - Fax:
Practice Address - Street 1:422 CLUBHOUSE DR
Practice Address - Street 2:
Practice Address - City:SANTA MARIA
Practice Address - State:CA
Practice Address - Zip Code:93455-3633
Practice Address - Country:US
Practice Address - Phone:805-934-2170
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-24
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAASW 12749101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty