person
Justin Bengt Sundgot-smith
Mental Health Counselor in Santa Barbara, California
NPI 1578034237

Justin Bengt Sundgot-smith is a Mental Health Counselor based in Santa Barbara, CA and is specialized in Mental Health. Justin Bengt Sundgot-smith practices in Santa Barbara, CA. The NPI Number for Justin Bengt Sundgot-smith is 1578034237 and holds a License No. 112952 (California).

The current practice location address for Justin Bengt Sundgot-smith is 5266 Hollister Ave Ste 212, Santa Barbara, CA and can be reached out via phone at 805-452-7356.

Location: 5266 Hollister Ave Ste 212, Santa Barbara, CA, 93111-4041
person
Provider Profile Details
NPI Number
1578034237
Provider Name
Justin Bengt Sundgot-smith
Credential
Provider Entity Type
Individual
Gender
Male
Address
5266 Hollister Ave Ste 212, Santa Barbara, CA, 93111-4041
Phone Number
805-452-7356
Fax Number
Provider Enumeration Date
12/06/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
832668750 01 CA IRS
institution
Provider Business Practice Location Address Details
Address
5266 Hollister Ave Ste 212
City
State
Zip
93111-4041
Phone Number
805-452-7356
Fax Number
person
Provider Business Mailing Address Details
Address
5266 Hollister Ave Ste 212
City
State
Zip
93111-4041
Phone Number
805-452-7356
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
112952 (California)
Definition
Definition to come...
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