| Thrive San Luis Obispo | |
|
1530 Monterey St Ste A San Luis Obispo CA 93401-2969 | |
| (805) 242-2624 | |
| Not Available |
| Full Name | Thrive San Luis Obispo |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 1530 Monterey St Ste A, San Luis Obispo, California |
| Authorized Official Name and Position | Sarah Joy Park (CFO) |
| Authorized Official Contact | 8052422624 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Thrive San Luis Obispo 1530 Monterey St Ste A San Luis Obispo CA 93401-2969 Ph: (805) 242-2624 | Thrive San Luis Obispo 1530 Monterey St Ste A San Luis Obispo CA 93401-2969 Ph: (805) 242-2624 |
| NPI Number | 1922777069 |
|---|---|
| Provider Enumeration Date | 09/11/2021 |
| Last Update Date | 09/11/2021 |
| Certification Date | 09/11/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922777069 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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