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Organization
DEROSE MARRIAGE AND FAMILY THERAPY CORPORATION
Active
Organization
DEROSE MARRIAGE AND FAMILY THERAPY CORPORATION
Active
Other names
DeRose Therapy Group
Organization subpart
No
Provider details
NPI number
Authorized official
LEAH LORRAINE DEROSE LMFT (CEO)
(805) 242-1375
Entity
Organization
Contact information
Practice address
1026 PALM ST STE 215, SAN LUIS OBISPO, CA 93401-3260
(805) 242-1375
Mailing address
1026 PALM ST STE 215, SAN LUIS OBISPO, CA 93401-3260
(805) 242-1375
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
03/10/2021
Last updated
03/10/2021
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