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Brett Dahlberg
Mental Health Counselor in Santa Cruz, California
NPI 1477069755

Brett Dahlberg is a Mental Health Counselor based in Santa Cruz, CA and is specialized in Mental Health. Brett Dahlberg practices in Santa Cruz, CA. The NPI Number for Brett Dahlberg is 1477069755 and holds a License No. (California).

The current practice location address for Brett Dahlberg is 1400 Emeline Ave, Santa Cruz, CA and can be reached out via phone at 831-454-4170.

Location: 1400 Emeline Ave, Santa Cruz, CA, 95060-1976
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1477069755
Provider Name
Brett Dahlberg
Credential
Provider Entity Type
Individual
Gender
Male
Address
1400 Emeline Ave, Santa Cruz, CA, 95060-1976
Phone Number
831-454-4170
Fax Number
Provider Enumeration Date
12/21/2017
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
ZZZ92069Z 01 CA SANTA CRUZ COUNTY GROUP PTAN#
FHC70042F 01 CA SANTA CRUZ COUNTY MEDI-CAL GROUP PTAN#
ZZZ91891Z 01 CA SANTA CRUZ COUNTY MEDICARE GROUP PTAN#
institution
Provider Business Practice Location Address Details
Address
1400 Emeline Ave
City
Santa Cruz
State
California
Zip
95060-1976
Phone Number
831-454-4170
Fax Number
person
Provider Business Mailing Address Details
Address
1400 Emeline Ave
City
Santa Cruz
State
California
Zip
95060-1976
Phone Number
831-454-4170
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
(California)
Definition
Definition to come...
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