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Mr. Austin Petersen
Mental Health Counselor in San Luis Obispo, California
NPI 1497394837

Austin Petersen is a Mental Health Counselor based in San Luis Obispo, CA and is specialized in Mental Health. Austin Petersen practices in San Luis Obispo, CA. The NPI Number for Austin Petersen is 1497394837 and holds a License No. (California).

The current practice location address for Austin Petersen is 1255 Kendall Rd, San Luis Obispo, CA and can be reached out via phone at 805-781-3535.

Location: 1255 Kendall Rd, San Luis Obispo, CA, 93401-8264
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1497394837
Provider Name
Austin Petersen
Credential
Provider Entity Type
Individual
Gender
Male
Address
1255 Kendall Rd, San Luis Obispo, CA, 93401-8264
Phone Number
805-781-3535
Fax Number
Provider Enumeration Date
01/02/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1255 Kendall Rd
City
San Luis Obispo
State
California
Zip
93401-8750
Phone Number
805-781-3535
Fax Number
person
Provider Business Mailing Address Details
Address
1255 Kendall Rd
City
San Luis Obispo
State
California
Zip
93401-8750
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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