Individual
MRS. STEPHANIE L MORGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
285 SOUTH ST STE M, SAN LUIS OBISPO, CA 93401-5037
(805) 544-2892
(805) 544-2887
Mailing address
285 SOUTH ST STE M, SAN LUIS OBISPO, CA 93401-5037
(805) 544-2892
(805) 544-2887
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
400005AN
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4006
—
CA
Enumeration date
07/10/2008
Last updated
07/10/2008
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