Organization
CENTRAL COAST PSYCHOTHERAPY SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ADARE TORAL BRUINGTON LPCC (CEO)
(805) 936-0140
Entity
Organization
Contact information
Practice address
599 HIGUERA ST # F-1, SAN LUIS OBISPO, CA 93401-3851
(805) 936-0140
Mailing address
219 VIA LA PAZ, SAN LUIS OBISPO, CA 93401-6962
(714) 679-6194
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
03/17/2025
Last updated
03/17/2025
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