Individual
BRIAN KEITH OLTMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.A., LMFT
Contact information
Practice address
1286 UNIVERSITY AVE # 568, SAN DIEGO, CA 92103-3312
(619) 804-2914
Mailing address
1286 UNIVERSITY AVE # 568, SAN DIEGO, CA 92103-3312
(619) 804-2914
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
41932
CA
Other
Enumeration date
06/17/2008
Last updated
06/17/2008
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