| Jonah's House | |
|
855 S Oakglen Ave Unit A Nipomo CA 93444 | |
| (805) 266-8001 | |
| Not Available |
| Full Name | Jonah's House |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 855 S Oakglen Ave Unit A, Nipomo, California |
| Authorized Official Name and Position | Amanda Dawn Masters (ADMIN/BILLING) |
| Authorized Official Contact | 8057102361 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jonah's House 110 S Mary Ave Ste 2 Pmb 122 Nipomo CA 93444 Ph: (805) 266-8001 | Jonah's House 855 S Oakglen Ave Unit A Nipomo CA 93444 Ph: (805) 266-8001 |
| NPI Number | 1184354342 |
|---|---|
| Provider Enumeration Date | 06/12/2022 |
| Last Update Date | 08/17/2023 |
| Certification Date | 08/14/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184354342 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
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