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Jesse Gortarez
Mental Health Counselor in San Luis Obispo, California
NPI 1285760942

Jesse Gortarez is a Mental Health Counselor based in San Luis Obispo, CA and is specialized in Mental Health. Jesse Gortarez practices in San Luis Obispo, CA. The NPI Number for Jesse Gortarez is 1285760942 and holds a License No. (California).

The current practice location address for Jesse Gortarez is 277 South St, San Luis Obispo, CA and can be reached out via phone at 805-788-2033 and via fax at 805-788-2030.

Location: 277 South St, San Luis Obispo, CA, 93401-5039
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1285760942
Provider Name
Jesse Gortarez
Credential
Provider Entity Type
Individual
Gender
Male
Address
277 South St, San Luis Obispo, CA, 93401-5039
Phone Number
805-788-2033
Fax Number
805-788-2030
Provider Enumeration Date
02/26/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1904 01 CA COUNTY MENTAL HEALTH #
institution
Provider Business Practice Location Address Details
Address
277 South St
City
San Luis Obispo
State
California
Zip
93401-5039
Phone Number
805-788-2033
Fax Number
805-788-2030
person
Provider Business Mailing Address Details
Address
277 South St
City
San Luis Obispo
State
California
Zip
93401-5039
Phone Number
805-788-2033
Fax Number
805-788-2030
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
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Definition
Definition to come...
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