Individual
BRANDI LEE MASSENGALE CUELLAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C.A.T.C.
Contact information
Practice address
2494 PENNINGTON CREEK RD, SAN LUIS OBISPO, CA 93405-7841
(805) 782-7258
(805) 543-2599
Mailing address
691 HERMOSA CT, GROVER BEACH, CA 93433-2932
(805) 748-0067
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CATC # 102505
CA
Other
Enumeration date
12/05/2011
Last updated
12/05/2011
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