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Mr. George Calasa, LPCC,LCPC,NCC
Mental Health Counselor in Pine Mountain Club, California
NPI 1013369875

George Calasa is a Mental Health Counselor based in Pine Mountain Club, CA and is specialized in Mental Health. George Calasa practices in Pine Mountain Club, CA and has the professional credentials of LPCC,LCPC,NCC. The NPI Number for George Calasa is 1013369875 and holds a License No. CP3180-R (California).

The current practice location address for George Calasa is 16321 Askin Dr # 6688, Pine Mountain Club, CA and can be reached out via phone at 805-850-3057.

Location: 16321 Askin Dr # 6688, Pine Mountain Club, CA, 93222-9900
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1013369875
Provider Name
George Calasa
Credential
LPCC,LCPC,NCC
Provider Entity Type
Individual
Gender
Male
Address
16321 Askin Dr # 6688, Pine Mountain Club, CA, 93222-9900
Phone Number
805-850-3057
Fax Number
Provider Enumeration Date
07/05/2016
Last Update Date
12/14/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1922634377 05 CA
CP3180-R 01 NV LICENSE
institution
Provider Business Practice Location Address Details
Address
16321 Askin Dr # 6688
City
Pine Mountain Club
State
California
Zip
93222-9900
Phone Number
805-850-3057
Fax Number
person
Provider Business Mailing Address Details
Address
16321 Askin Dr # 6688
City
Pine Mountain Club
State
California
Zip
93222-9900
Phone Number
805-850-3057
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
MBTCOU-10330 (Idaho)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
CP3180-R (Nevada)
Definition
Definition to come...
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