Individual
MRS. AUDREY NAOMI DEFRISCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
441 MARSH ST, SAN LUIS OBISPO, CA 93401
(805) 305-3695
(805) 543-0859
Mailing address
441 MARSH ST, SAN LUIS OBISPO, CA 93401
(805) 305-3695
(805) 543-0859
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
LMFT132113
CA
106H00000X
Marriage & Family Therapist
110475
CA
Other
Enumeration date
12/07/2018
Last updated
02/23/2024
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