person
Derek Smith Lauritzen
Addiction (Substance Use Disorder) Counselor in San Luis Obispo, California
NPI 1619735503

Derek Smith Lauritzen is an Addiction (Substance Use Disorder) Counselor based in San Luis Obispo, CA and is specialized in Addiction (Substance Use Disorder). Derek Smith Lauritzen practices in San Luis Obispo, CA. The NPI Number for Derek Smith Lauritzen is 1619735503 and holds a License No. (California).

The current practice location address for Derek Smith Lauritzen is 2180 Johnson Ave, San Luis Obispo, CA and can be reached out via phone at 805-781-4768.

Location: 2180 Johnson Ave, San Luis Obispo, CA, 93401-4558
person
Provider Profile Details
NPI Number
1619735503
Provider Name
Derek Smith Lauritzen
Credential
Provider Entity Type
Individual
Gender
Male
Address
2180 Johnson Ave, San Luis Obispo, CA, 93401-4558
Phone Number
805-781-4768
Fax Number
Provider Enumeration Date
03/06/2024
Last Update Date
04/14/2024
institution
Provider Business Practice Location Address Details
Address
2180 Johnson Ave
City
State
Zip
93401-4558
Phone Number
805-781-4768
Fax Number
person
Provider Business Mailing Address Details
Address
2180 Johnson Ave
City
State
Zip
93401-4558
Phone Number
805-781-4768
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
()
Definition
Definition to come...
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