| Sierra Mental Wellness Group | |
|
2180 Johnson Ave San Luis Obispo CA 93401-4558 | |
| (805) 788-2507 | |
| (805) 788-2506 |
| Full Name | Sierra Mental Wellness Group |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2180 Johnson Ave, San Luis Obispo, California |
| Authorized Official Name and Position | Nicole Vanneman (INTERIM EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 9167835207 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sierra Mental Wellness Group 333 Sunrise Ave Ste 701 Roseville CA 95661-3483 Ph: (916) 783-5207 | Sierra Mental Wellness Group 2180 Johnson Ave San Luis Obispo CA 93401-4558 Ph: (805) 788-2507 |
| NPI Number | 1982192084 |
|---|---|
| Provider Enumeration Date | 04/25/2018 |
| Last Update Date | 06/17/2024 |
| Certification Date | 06/17/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982192084 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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