Individual
MR. STEVEN JOHN STREET
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSYCHIATRIC TECH.
Contact information
Practice address
2178 JOHNSON AVE, SAN LUIS OBISPO, CA 93401-4535
(805) 461-6060
(805) 461-6061
Mailing address
2178 JOHNSON AVE, SAN LUIS OBISPO, CA 93401-4535
(805) 461-6060
(805) 461-6061
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
PT22453
CA
Other
Enumeration date
05/16/2007
Last updated
06/18/2008
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