Coastal Mountain Youth Academy
Coastal Mountain Youth Academy is an Addiction (Substance Use Disorder) Counselor in San Juan Capistrano, California. Registered with an NPI since 2012.
- In the registry since
- 2012
- Specialties on file
- 4
Practice location Address checks out
33171 Paseo Cerveza Ste 120San Juan Capistrano, CA 92675-4870
Phone: (949) 498-7042
Fax: (949) 248-2870
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Mental Health Counselor (primary) | Taxonomy 101YM0800X |
|---|---|
| Addiction (Substance Use Disorder) Counselor | Taxonomy 101YA0400X |
| School Counselor | Taxonomy 101YS0200X |
| Marriage & Family Therapist | Taxonomy 106H00000X |
Record details
| NPI number | 1801156831 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Kelley White — Executive Program Director · (949) 498-7042 |
| NPI enumerated | May 23, 2012 |
| Last updated in NPPES | May 23, 2012 |
| Mailing address | 33171 Paseo Cerveza, Suite 120, San Juan Capistrano, CA 92675-4870 |
Other providers in San Juan Capistrano
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Sandra Lee Baggett, RADT-1
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-
Juliet Kathryne Ballard
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-
Encompass Treatment Services, LLC
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-
George Hillyard
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-
Ronald Israel
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