Individual
VIVIAN SOUL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
784 HIGH ST, SAN LUIS OBISPO, CA 93401-5243
(805) 440-8141
(805) 540-6501
Mailing address
784 HIGH ST, SAN LUIS OBISPO, CA 93401-5243
(805) 440-8141
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
373H00000X
Day Training/Habilitation Specialist
—
—
Other
Enumeration date
09/13/2024
Last updated
09/24/2025
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