Organization
KASSANDRA BOORTZ, LMFT, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KASSANDRA DAWN BOORTZ LMFT (LMFT)
(805) 888-1732
Entity
Organization
Contact information
Practice address
881 PRIMROSE LN, NIPOMO, CA 93444-5410
(805) 888-0912
Mailing address
2950 BROAD ST # 1088, SAN LUIS OBISPO, CA 93401-6702
(805) 888-1732
(888) 649-9179
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
02/11/2026
Last updated
02/11/2026
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