Individual
MR. CHRISTOPHER WILLIAM CUSICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
B.S.
Contact information
Practice address
2178 JOHNSON AVE, SAN LUIS OBISPO COUNTY MENTAL HEALTH SERVICES, SAN LUIS OBISPO, CA 93401-4535
(805) 541-5144
Mailing address
791 PRICE ST, #135, PISMO BEACH, CA 93449-2529
(805) 305-5170
(805) 805-5419
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
3793
CA
Other
Enumeration date
11/15/2006
Last updated
02/20/2009
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