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Theresa Anne Havelka
Mental Health Counselor in San Luis Obispo, California
NPI 1407123607

Theresa Anne Havelka is a Mental Health Counselor based in San Luis Obispo, CA and is specialized in Mental Health. Theresa Anne Havelka practices in San Luis Obispo, CA. The NPI Number for Theresa Anne Havelka is 1407123607 and holds a License No. (California).

The current practice location address for Theresa Anne Havelka is 3190 Lirio Ct., San Luis Obispo, CA and can be reached out via phone at 805-781-3535.

Location: 3190 Lirio Ct., San Luis Obispo, CA, 93401
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1407123607
Provider Name
Theresa Anne Havelka
Credential
Provider Entity Type
Individual
Gender
Female
Address
3190 Lirio Ct., San Luis Obispo, CA, 93401
Phone Number
805-781-3535
Fax Number
Provider Enumeration Date
11/17/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3190 Lirio Ct.
City
San Luis Obispo
State
California
Zip
93401
Phone Number
805-781-3535
Fax Number
person
Provider Business Mailing Address Details
Address
3190 Lirio Ct.
City
San Luis Obispo
State
California
Zip
93401
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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