Individual
CHRISTINA MICHELLE HUTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2180 B JOHNSON AVENUE, SAN LUIS OBISPO, AR 93401
(805) 788-2505
Mailing address
2180 B JOHNSON AVENUE, SAN LUIS OBISPO, CA 93401
(805) 788-2505
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
40220
CA
Other
Enumeration date
06/01/2022
Last updated
06/01/2022
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