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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