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Kelly Ann Antista Sultan
Mental Health Counselor in San Luis Obispo, California
NPI 1124252077

Kelly Ann Antista Sultan is a Mental Health Counselor based in San Luis Obispo, CA and is specialized in Mental Health. Kelly Ann Antista Sultan practices in San Luis Obispo, CA. The NPI Number for Kelly Ann Antista Sultan is 1124252077 and holds a License No. (California).

The current practice location address for Kelly Ann Antista Sultan is 3765 S Higuera St, San Luis Obispo, CA and can be reached out via phone at 805-781-3535.

Location: 3765 S Higuera St, San Luis Obispo, CA, 93401
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1124252077
Provider Name
Kelly Ann Antista Sultan
Credential
Provider Entity Type
Individual
Gender
Female
Address
3765 S Higuera St, San Luis Obispo, CA, 93401
Phone Number
805-781-3535
Fax Number
Provider Enumeration Date
05/06/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3765 S Higuera St
City
San Luis Obispo
State
California
Zip
93401-1570
Phone Number
805-781-3535
Fax Number
person
Provider Business Mailing Address Details
Address
3765 S Higuera St
City
San Luis Obispo
State
California
Zip
93401-1570
Phone Number
805-781-3535
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
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