Organization
GOOD SAMARITAN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHELSEA LAUREL JENSEN LMFT (MENTAL HEALTH DIRECTOR)
(805) 347-3338
Entity
Organization
Contact information
Practice address
400 W PARK AVE, SANTA MARIA, CA 93458-6116
(805) 623-5304
Mailing address
400 W PARK AVE, SANTA MARIA, CA 93458-6116
(805) 623-5304
Taxonomy
Speciality
Code
Description
License number
State
251X00000X
Supports Brokerage Agency
Primary
—
—
Other
Enumeration date
11/23/2022
Last updated
11/23/2022
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