| Sheepdog Fitness, Llc | |
|
34207 Pacific Coast Hwy Ste A Dana Point CA 92629-2849 | |
| (949) 291-1283 | |
| Not Available |
| Full Name | Sheepdog Fitness, Llc |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 34207 Pacific Coast Hwy Ste A, Dana Point, California |
| Authorized Official Name and Position | Jennifer Ann Telford (PRESIDENT) |
| Authorized Official Contact | 9492911283 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sheepdog Fitness, Llc 34207 Pacific Coast Hwy Ste A Dana Point CA 92629-2849 Ph: (949) 291-1283 | Sheepdog Fitness, Llc 34207 Pacific Coast Hwy Ste A Dana Point CA 92629-2849 Ph: (949) 291-1283 |
| NPI Number | 1790337848 |
|---|---|
| Provider Enumeration Date | 07/09/2019 |
| Last Update Date | 07/09/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790337848 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
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