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Randall Kullgren
Mental Health Counselor in San Luis Obispo, California
NPI 1417152315

Randall Kullgren is a Mental Health Counselor based in San Luis Obispo, CA and is specialized in Mental Health. Randall Kullgren practices in San Luis Obispo, CA. The NPI Number for Randall Kullgren is 1417152315 and holds a License No. (California).

The current practice location address for Randall Kullgren is 761 West Foothill Blvd, San Luis Obispo, CA and can be reached out via phone at 805-781-3535.

Location: 761 West Foothill Blvd, San Luis Obispo, CA, 93405
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1417152315
Provider Name
Randall Kullgren
Credential
Provider Entity Type
Individual
Gender
Male
Address
761 West Foothill Blvd, San Luis Obispo, CA, 93405
Phone Number
805-781-3535
Fax Number
Provider Enumeration Date
06/19/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
761 West Foothill Blvd
City
San Luis Obispo
State
California
Zip
93405
Phone Number
805-781-3535
Fax Number
person
Provider Business Mailing Address Details
Address
761 West Foothill Blvd
City
San Luis Obispo
State
California
Zip
93405
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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