Individual
JOSEPH BRIGHAM STEEN-LARSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
285 SOUTH ST STE J, SAN LUIS OBISPO, CA 93401-5037
(805) 547-7025
Mailing address
285 SOUTH ST STE J, SAN LUIS OBISPO, CA 93401-5037
(805) 547-7025
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
34669
CA
Other
Enumeration date
09/10/2024
Last updated
09/10/2024
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