| Wane Wellness | |
|
1114 State St Ste 201 Santa Barbara CA 93101-2717 | |
| (805) 500-8369 | |
| Not Available |
| Full Name | Wane Wellness |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 1114 State St Ste 201, Santa Barbara, California |
| Authorized Official Name and Position | Jonathan W. Thompson (OWNER) |
| Authorized Official Contact | 8055008369 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wane Wellness 1187 Coast Village Rd Ste 1-720 Santa Barbara CA 93108-2737 Ph: () - | Wane Wellness 1114 State St Ste 201 Santa Barbara CA 93101-2717 Ph: (805) 500-8369 |
| NPI Number | 1144094590 |
|---|---|
| Provider Enumeration Date | 11/07/2023 |
| Last Update Date | 03/20/2024 |
| Certification Date | 11/27/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144094590 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
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