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Organization
TIDELANDS COUNSELING
Active
Organization
TIDELANDS COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MAT CHIRMAN MS, LMFT (OWNER)
(805) 543-5060
Entity
Organization
Contact information
Practice address
1411 MARSH ST STE 105, SAN LUIS OBISPO, CA 93401-2967
(805) 543-5060
(888) 364-3845
Mailing address
1443 9TH ST, LOS OSOS, CA 93402-1701
(805) 543-5060
(888) 364-3845
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MFT #39579
CA
Other
Enumeration date
03/12/2013
Last updated
03/12/2013
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