Optimal Interventions | |
301 S Miller St Ste 112 Santa Maria CA 93454-5243 | |
(805) 202-9335 | |
Not Available |
Full Name | Optimal Interventions |
---|---|
Speciality | Marriage & Family Therapist |
Location | 301 S Miller St Ste 112, Santa Maria, California |
Authorized Official Name and Position | Ole Von Frausing-borch (CHIEF EXECUTIVE OFFICER) |
Authorized Official Contact | 8052029335 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Optimal Interventions Po Box 6574 Santa Maria CA 93456-6574 Ph: (805) 202-9335 | Optimal Interventions 301 S Miller St Ste 112 Santa Maria CA 93454-5243 Ph: (805) 202-9335 |
NPI Number | 1245772425 |
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Provider Enumeration Date | 11/05/2016 |
Last Update Date | 11/05/2016 |
Identifier | Type | State | Issuer |
---|---|---|---|
1245772425 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
106H00000X | Marriage & Family Therapist | LMFT8963 (California) | Primary |
106H00000X | Marriage & Family Therapist | LMFT82011 (California) | Secondary |
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