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Jeremiah Malzhan
Counselor in San Luis Obispo, California
NPI 1699944280

Jeremiah Malzhan is a Counselor based in San Luis Obispo, CA. Jeremiah Malzhan practices in San Luis Obispo, CA. The NPI Number for Jeremiah Malzhan is 1699944280 and holds a License No. (California).

The current practice location address for Jeremiah Malzhan is 2176 Johnson Ave, San Luis Obispo, CA and can be reached out via phone at 805-781-5300 and via fax at 805-781-1231.

Location: 2176 Johnson Ave, San Luis Obispo, CA, 93401-4535
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1699944280
Provider Name
Jeremiah Malzhan
Credential
Provider Entity Type
Individual
Gender
Male
Address
2176 Johnson Ave, San Luis Obispo, CA, 93401-4535
Phone Number
805-781-5300
Fax Number
805-781-1231
Provider Enumeration Date
02/27/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2176 Johnson Ave
City
San Luis Obispo
State
California
Zip
93401-4535
Phone Number
805-781-5300
Fax Number
805-781-1231
person
Provider Business Mailing Address Details
Address
2176 Johnson Ave
City
San Luis Obispo
State
California
Zip
93401-4535
Phone Number
805-781-5300
Fax Number
805-781-1231
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
()
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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