Individual
JUSTICE BRIGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
784 HIGH ST, SAN LUIS OBISPO, CA 93401-5243
(805) 540-6500
Mailing address
PO BOX 15408, SAN LUIS OBISPO, CA 93406-5408
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
MPSS-CMVTAX
CA
373H00000X
Day Training/Habilitation Specialist
—
—
Other
Enumeration date
09/10/2024
Last updated
10/08/2025
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