Individual
AMANDA JEAN GROO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
793 HIGUERA ST STE 5, SAN LUIS OBISPO, CA 93401-3571
(805) 748-2583
Mailing address
3661 ROCK GARDEN LN, SAN LUIS OBISPO, CA 93401-6217
(805) 748-2583
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
15351
CA
Other
Enumeration date
01/18/2024
Last updated
01/18/2024
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