Conscious Awakening Licensed Marriage Family Therapist Inc. | |
11549 Los Osos Valley Rd Ste 202 San Luis Obispo CA 93405-6481 | |
(805) 550-3621 | |
Not Available |
Full Name | Conscious Awakening Licensed Marriage Family Therapist Inc. |
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Speciality | Counselor - Mental Health |
Location | 11549 Los Osos Valley Rd Ste 202, San Luis Obispo, California |
Authorized Official Name and Position | Jennifer Ann Woodward (THERAPIST/OWNER) |
Authorized Official Contact | 8055503621 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Conscious Awakening Licensed Marriage Family Therapist Inc. Po Box 2043 Pismo Beach CA 93448-2043 Ph: (805) 550-3621 | Conscious Awakening Licensed Marriage Family Therapist Inc. 11549 Los Osos Valley Rd Ste 202 San Luis Obispo CA 93405-6481 Ph: (805) 550-3621 |
NPI Number | 1992549547 |
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Provider Enumeration Date | 06/19/2024 |
Last Update Date | 06/19/2024 |
Certification Date | 06/19/2024 |
Identifier | Type | State | Issuer |
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1992549547 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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