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405 E Branch St Ste 111 Arroyo Grande CA 93420-2802 | |
| (805) 225-4495 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 405 E Branch St Ste 111, Arroyo Grande, California |
| Authorized Official Name and Position | Andrea Noel Bey (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 8052254495 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
405 E Branch St Ste 111 Arroyo Grande CA 93420-2802 Ph: (805) 225-4495 | 405 E Branch St Ste 111 Arroyo Grande CA 93420-2802 Ph: (805) 225-4495 |
| NPI Number | 1871200568 |
|---|---|
| Provider Enumeration Date | 11/01/2022 |
| Last Update Date | 11/16/2022 |
| Certification Date | 11/16/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871200568 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
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