Individual
AUSTIN KEVIN LILLENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ASW
Contact information
Practice address
2801 SANTA MARIA WAY, SANTA MARIA, CA 93455-2118
(805) 934-5400
(805) 938-9207
Mailing address
2050 S BLOSSER RD, SANTA MARIA, CA 93458-7310
(805) 361-8030
(805) 361-8097
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW115424
CA
Other
Enumeration date
04/07/2022
Last updated
08/26/2023
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