# SACRED PATH

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1316671258
- **Authorized official:** SCOTT DOLAN (CFO)
- **Authorized official phone:** (805) 868-8442

## Contact information

- **Practice address:** 1390 PRICE ST, PISMO BEACH, CA 93449-2218
- **Practice address phone:** (805) 235-8937
- **Mailing address:** 815 FOXENWOOD DR, SANTA MARIA, CA 93455-4185
- **Mailing address phone:** (805) 868-8442

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 106H00000X | Marriage & Family Therapist | — | NULL | Yes |
| 106H00000X | Marriage & Family Therapist | — | — | Yes |

## Other

- **Enumeration date:** 07/15/2022
- **Last updated:** 07/15/2022