COMMUNITY DRUG COUNCIL NPI 1255410403

NPI Information

  • NPI: 1255410403
  • Provider Name: COMMUNITY DRUG COUNCIL
  • Classification: Marriage & Family Therapist - 106H00000X
  • Entity Type: Organization
  • Doing Business As: COMMUNITY COUNSELING AND EDUCATION CENTER
  • Address: 3775 BEACON AVENUE
    2ND FLOOR
    FREMONT, CA
    ZIP 94538
  • Phone: (510) 792-4964

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NPI Details

COMMUNITY DRUG COUNCIL is a marriage family therapist in Fremont, CA. The provider is a marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. COMMUNITY DRUG COUNCIL NPI is 1255410403. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Community Counseling And Education Center.

The provider's business location address is:

3775 BEACON AVENUE
2ND FLOOR
FREMONT, CA
ZIP 94538
Phone: (510) 792-4964
Fax: (510) 792-4928

The provider's authorized official is Barbara Ann Humphries .
The authorized official title is Executive Directir and has the following contact phone number (510) 792-4964.

The enumeration date for this NPI number is 11/6/2006 and was last updated on 7/27/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YM0800XCounselorMental HealthNo
21041C0700XSocial WorkerClinicalNo
3103T00000XPsychologistNo
4106H00000XMarriage & Family TherapistYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
18180OTHERCALIFORNIAMEDI-CAL PROVIDER NUMBER

What is NPI?

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This page was last updated on: 11/21/2025

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