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Organization

SLO COUNTY BEHAVORIAL HEALTH

Active
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Organization

SLO COUNTY BEHAVORIAL HEALTH

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. KATHLEEN LAURIE WELLES MHW (MENTAL HEALTHWORKER)
(805) 781-4712
Entity
Organization

Contact information

Practice address
2178 JOHNSON AVE, SAN LUIS OBISPO, CA 93401-4535
(805) 781-4712
(805) 781-4145
Mailing address
2178 JOHNSON AVE, SAN LUIS OBISPO, CA 93401-4535
(805) 781-4712

Taxonomy

Speciality
Code
Description
License number
State
283Q00000X
Psychiatric Hospital
Primary
02016035
CA

Other

Enumeration date
05/29/2014
Last updated
05/29/2014
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