Individual
COLLEEN ANNE WHITLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2176 JOHNSON AVE, SAN LUIS OBISPO, CA 93401-4535
(805) 781-5300
Mailing address
2176 JOHNSON AVE, SAN LUIS OBISPO, CA 93401-4535
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
02/26/2008
Last updated
02/26/2008
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