Organization
DEROSE MARRIAGE AND FAMILY THERAPY CORPORATION
Active
Other names
DeRose Therapy Group
Organization subpart
No
Provider details
NPI number
Authorized official
LEAH LORRAINE DEROSE LMFT (CEO)
(805) 242-1375
Entity
Organization
Contact information
Practice address
1026 PALM ST STE 215, SAN LUIS OBISPO, CA 93401-3260
(805) 242-1375
Mailing address
1026 PALM ST STE 215, SAN LUIS OBISPO, CA 93401-3260
(805) 242-1375
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
03/10/2021
Last updated
03/10/2021
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