| Kirsten Angeliyan Marriage And Family Therapy, Professional Corporatio | |
|
4103 Bernardo Dr San Luis Obispo CA 93401-6250 | |
| (805) 996-0828 | |
| Not Available |
| Full Name | Kirsten Angeliyan Marriage And Family Therapy, Professional Corporatio |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 4103 Bernardo Dr, San Luis Obispo, California |
| Authorized Official Name and Position | Kirsten Larsen Angeliyan (CEO) |
| Authorized Official Contact | 8059960828 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kirsten Angeliyan Marriage And Family Therapy, Professional Corporatio 4103 Bernardo Dr San Luis Obispo CA 93401-6250 Ph: () - | Kirsten Angeliyan Marriage And Family Therapy, Professional Corporatio 4103 Bernardo Dr San Luis Obispo CA 93401-6250 Ph: (805) 996-0828 |
| NPI Number | 1780468389 |
|---|---|
| Provider Enumeration Date | 08/23/2023 |
| Last Update Date | 08/23/2023 |
| Certification Date | 08/23/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780468389 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
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