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Individual

MRS. ALYSSA KAY SAULS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
115 E HICKORY AVE STE E, LOMPOC, CA 93436-7274
(805) 868-7980
Mailing address
521 COLBERT DR, LOMPOC, CA 93436-3467
(805) 757-1139

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
144020
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
144020
BBS
CA
01
5611
SUDRC
CA
Enumeration date
07/22/2016
Last updated
01/05/2024
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