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1011 Pacific St San Luis Obispo CA 93401-3600 | |
| (805) 270-5830 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 1011 Pacific St, San Luis Obispo, California |
| Authorized Official Name and Position | Alexann Calabash Masiko-meyer (CEO) |
| Authorized Official Contact | 8052705830 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
1011 Pacific St Ste 200 San Luis Obispo CA 93401-3600 Ph: (808) 270-5830 | 1011 Pacific St San Luis Obispo CA 93401-3600 Ph: (805) 270-5830 |
| NPI Number | 1841919073 |
|---|---|
| Provider Enumeration Date | 08/23/2022 |
| Last Update Date | 11/13/2024 |
| Certification Date | 11/13/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841919073 | NPI | - | NPPES |
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