Individual
BREANNA CEBALLOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2178 JOHNSON AVE, SAN LUIS OBISPO, CA 93401-4535
(949) 813-5252
Mailing address
1950 HAYS ST, SAN LUIS OBISPO, CA 93405-2024
(949) 813-5252
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
11/18/2021
Last updated
11/18/2021
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