Individual
NATALIE MARIE MOLLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
277 SOUTH ST, SUITE Y, SAN LUIS OBISPO, CA 93401-5039
(805) 541-5144
Mailing address
PO BOX 15408, SAN LUIS OBISPO, CA 93406-5408
(805) 541-5144
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
02/27/2007
Last updated
07/08/2007
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