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203 Bridge St Arroyo Grande CA 93420-3311 | |
| (805) 489-9659 | |
| (805) 540-6501 |
| Full Name | |
|---|---|
| Speciality | Counselor |
| Location | 203 Bridge St, Arroyo Grande, California |
| Authorized Official Name and Position | Jill Bolster-white (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 8055406500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
Po Box 15408 San Luis Obispo CA 93406-5408 Ph: (805) 540-6500 | 203 Bridge St Arroyo Grande CA 93420-3311 Ph: (805) 489-9659 |
| NPI Number | 1093997215 |
|---|---|
| Provider Enumeration Date | 11/29/2007 |
| Last Update Date | 12/06/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093997215 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Primary |
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