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Geneva Mary Licht
Mental Health Counselor in San Luis Obispo, California
NPI 1952678336

Geneva Mary Licht is a Mental Health Counselor based in San Luis Obispo, CA and is specialized in Mental Health. Geneva Mary Licht practices in San Luis Obispo, CA. The NPI Number for Geneva Mary Licht is 1952678336 and holds a License No. (California).

The current practice location address for Geneva Mary Licht is 227 South St. Ste Y, San Luis Obispo, CA and can be reached out via phone at 415-497-8212.

Location: 227 South St. Ste Y, San Luis Obispo, CA, 93406
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1952678336
Provider Name
Geneva Mary Licht
Credential
Provider Entity Type
Individual
Gender
Female
Address
227 South St. Ste Y, San Luis Obispo, CA, 93406
Phone Number
415-497-8212
Fax Number
Provider Enumeration Date
11/29/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
227 South St. Ste Y
City
San Luis Obispo
State
California
Zip
93401
Phone Number
415-497-8212
Fax Number
person
Provider Business Mailing Address Details
Address
227 South St. Ste Y
City
San Luis Obispo
State
California
Zip
93401
Phone Number
415-497-8212
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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