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Nicholas Philip San Juan
Mental Health Counselor in San Luis Obispo, California
NPI 1962632794

Nicholas Philip San Juan is a Mental Health Counselor based in Santa Maria, CA and is specialized in Mental Health. Nicholas Philip San Juan practices in San Luis Obispo, CA. The NPI Number for Nicholas Philip San Juan is 1962632794 and holds a License No. (California).

The current practice location address for Nicholas Philip San Juan is 978 Valecito Ct, San Luis Obispo, CA and can be reached out via phone at 805-781-3535.

Location: 978 Valecito Ct, San Luis Obispo, CA, 93455
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1962632794
Provider Name
Nicholas Philip San Juan
Credential
Provider Entity Type
Individual
Gender
Male
Address
978 Valecito Ct, San Luis Obispo, CA, 93455
Phone Number
805-781-3535
Fax Number
Provider Enumeration Date
07/14/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
978 Valecito Ct
City
San Luis Obispo
State
California
Zip
93405-4740
Phone Number
805-781-3535
Fax Number
person
Provider Business Mailing Address Details
Address
978 Valecito Ct
City
San Luis Obispo
State
California
Zip
93405-4740
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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