| Paula Defrisco, Lcsw | |
|
11549 Los Osos Valley Rd Suite 200 San Luis Obispo CA 93405-6471 | |
| (805) 235-2800 | |
| (805) 439-2487 |
| Full Name | Paula Defrisco, Lcsw |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 11549 Los Osos Valley Rd, San Luis Obispo, California |
| Authorized Official Name and Position | Paula Defrisco (OWNER) |
| Authorized Official Contact | 8052352800 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Paula Defrisco, Lcsw 570 Funston Ave San Luis Obispo CA 93401-5683 Ph: (805) 235-2800 | Paula Defrisco, Lcsw 11549 Los Osos Valley Rd Suite 200 San Luis Obispo CA 93405-6471 Ph: (805) 235-2800 |
| NPI Number | 1427501105 |
|---|---|
| Provider Enumeration Date | 07/28/2016 |
| Last Update Date | 07/28/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427501105 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | LCS27899 (California) | Primary |
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