| Coastal Integrative Wellness, A Marriage And Family Corp | |
|
3889 Long St Ste 200 San Luis Obispo CA 93401-7581 | |
| (805) 724-6831 | |
| Not Available |
| Full Name | Coastal Integrative Wellness, A Marriage And Family Corp |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 3889 Long St Ste 200, San Luis Obispo, California |
| Authorized Official Name and Position | Leah Derose (PRESIDENT) |
| Authorized Official Contact | 8057246831 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Coastal Integrative Wellness, A Marriage And Family Corp 3889 Long St Ste 200 San Luis Obispo CA 93401-7581 Ph: (805) 724-6831 | Coastal Integrative Wellness, A Marriage And Family Corp 3889 Long St Ste 200 San Luis Obispo CA 93401-7581 Ph: (805) 724-6831 |
| NPI Number | 1477232932 |
|---|---|
| Provider Enumeration Date | 07/12/2023 |
| Last Update Date | 07/12/2023 |
| Certification Date | 07/12/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477232932 | NPI | - | NPPES |
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