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Contact Information

COMMUNITY COUNSELING SERVICES CHILD COUNSELOR A PROF CORP DEAN HADDOCK
4900 CALIFORNIA AVE
330-B
BAKERSFIELD, CA93309-7024
 Phone: 661-326-8167
 Fax: 661-326-8221
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
 

Clinical Child & Adolescent

103TC2200X 62 Psychologist, Clinical
 

Cognitive & Behavioral

103TB0200X 62 Psychologist, Clinical
 

Forensic

103TF0200X 62 Psychologist, Clinical
 

Group Psychotherapy

103TP2701X 62 Psychologist, Clinical
 

Health Service

103TH0100X 62 Psychologist, Clinical
 

Intellectual & Developmental Disabilities

103TM1800X 62 Psychologist, Clinical
 

Marriage & Family Therapist

106H00000X
 

Prescribing (Medical)

103TP0016X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for COMMUNITY COUNSELING SERVICES CHILD COUNSELOR A PROF CORP DEAN HADDOCK · (Female)

NPI Number 1346457157
Status Active
Credentials
Entity Individual
Enumeration date 05/17/2007
Last updated 04/03/2014 - About 12 years ago
Sole proprietor 1 Not specified
Identifiers
  • CA License # MI 13954
  • CA License # PSY 8536
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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