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Organization
SACRED PATH
Active
Organization
SACRED PATH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SCOTT DOLAN (CFO)
(805) 868-8442
Entity
Organization
Contact information
Practice address
1390 PRICE ST, PISMO BEACH, CA 93449-2218
(805) 235-8937
Mailing address
815 FOXENWOOD DR, SANTA MARIA, CA 93455-4185
(805) 868-8442
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
NULL
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
07/15/2022
Last updated
07/15/2022
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