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Mr. Brant Coolidge
Addiction (Substance Use Disorder) Counselor in San Luis Obispo, California
NPI 1225893480

Brant Coolidge is an Addiction (Substance Use Disorder) Counselor based in Santa Maria, CA and is specialized in Addiction (Substance Use Disorder). Brant Coolidge practices in San Luis Obispo, CA. The NPI Number for Brant Coolidge is 1225893480 and holds a License No. (California).

The current practice location address for Brant Coolidge is 2180 Johnson Ave, San Luis Obispo, CA and can be reached out via phone at 805-461-6081.

Location: 2180 Johnson Ave, San Luis Obispo, CA, 93457-2337
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1225893480
Provider Name
Brant Coolidge
Credential
Provider Entity Type
Individual
Gender
Male
Address
2180 Johnson Ave, San Luis Obispo, CA, 93457-2337
Phone Number
805-461-6081
Fax Number
Provider Enumeration Date
02/16/2024
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
2180 Johnson Ave
City
San Luis Obispo
State
California
Zip
93401-4558
Phone Number
805-461-6081
Fax Number
person
Provider Business Mailing Address Details
Address
2180 Johnson Ave
City
San Luis Obispo
State
California
Zip
93401-4558
Phone Number
805-461-6081
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
()
Definition
Definition to come...
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