Individual
CAMI ROUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
277 SOUTH ST, SUITE Y, SAN LUIS OBISPO, CA 93401-5039
(805) 541-5144
(805) 541-9480
Mailing address
PO BOX 15408, SAN LUIS OBISPO, CA 93406-5408
(805) 541-5144
(805) 541-9480
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
101Y00000X
COUNSELOR
CA
Enumeration date
09/02/2009
Last updated
09/02/2009
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