person
Mr. Matthew Booth
Mental Health Counselor in San Luis Obispo, California
NPI 1255719464

Matthew Booth is a Mental Health Counselor based in San Luis Obispo, CA and is specialized in Mental Health. Matthew Booth practices in San Luis Obispo, CA. The NPI Number for Matthew Booth is 1255719464 and holds a License No. (California).

The current practice location address for Matthew Booth is 2945 Mcmillan Ave Ste 240, San Luis Obispo, CA and can be reached out via phone at 805-439-4890.

Location: 2945 Mcmillan Ave Ste 240, San Luis Obispo, CA, 93401-6771
person
Provider Profile Details
NPI Number
1255719464
Provider Name
Matthew Booth
Credential
Provider Entity Type
Individual
Gender
Male
Address
2945 Mcmillan Ave Ste 240, San Luis Obispo, CA, 93401-6771
Phone Number
805-439-4890
Fax Number
Provider Enumeration Date
05/08/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2945 Mcmillan Ave Ste 240
City
State
Zip
93401-6771
Phone Number
805-439-4890
Fax Number
person
Provider Business Mailing Address Details
Address
2945 Mcmillan Ave Ste 240
City
State
Zip
93401-6771
Phone Number
805-439-4890
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
3173 (California)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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