| Megan Richert, Licensed Clinical Social Worker, Inc | |
|
310 James Way Ste 150 Pismo Beach CA 93449-2877 | |
| (805) 774-0656 | |
| Not Available |
| Full Name | Megan Richert, Licensed Clinical Social Worker, Inc |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 310 James Way Ste 150, Pismo Beach, California |
| Authorized Official Name and Position | Megan Elise Richert (FOUNDER & CLINICAL DIRECTOR) |
| Authorized Official Contact | 8057740656 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Megan Richert, Licensed Clinical Social Worker, Inc 310 James Way Ste 150 Pismo Beach CA 93449-2877 Ph: (805) 774-0656 | Megan Richert, Licensed Clinical Social Worker, Inc 310 James Way Ste 150 Pismo Beach CA 93449-2877 Ph: (805) 774-0656 |
| NPI Number | 1184485534 |
|---|---|
| Provider Enumeration Date | 01/22/2024 |
| Last Update Date | 01/22/2024 |
| Certification Date | 01/22/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184485534 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
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