Individual
ANA C MATHIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MFT
Contact information
Practice address
2460 MAIN ST, MORRO BAY, CA 93442-1552
(805) 772-2212
Mailing address
PO BOX 14101, SAN LUIS OBISPO, CA 93406-4101
(805) 305-6429
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
08/12/2024
Last updated
08/12/2024
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