Individual
ANDREA FAYE STEEN-LARSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
285 SOUTH ST STE J, SAN LUIS OBISPO, CA 93401-5037
(805) 788-8128
Mailing address
285 SOUTH ST STE J, SAN LUIS OBISPO, CA 93401-5037
(805) 788-8128
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
40063
CA
Other
Enumeration date
03/08/2018
Last updated
06/13/2022
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