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Organization
CENTRAL COAST PSYCHOTHERAPY SERVICES, INC.
Active
Organization
CENTRAL COAST PSYCHOTHERAPY SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ADARE TORAL BRUINGTON LPCC (CEO)
(805) 936-0140
Entity
Organization
Contact information
Practice address
599 HIGUERA ST # F-1, SAN LUIS OBISPO, CA 93401-3851
(805) 936-0140
Mailing address
219 VIA LA PAZ, SAN LUIS OBISPO, CA 93401-6962
(714) 679-6194
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
03/17/2025
Last updated
03/17/2025
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