Individual
AUSTIN MARTIN LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2180 JOHNSON AVE, SAN LUIS OBISPO, CA 93401-4558
(805) 781-4275
Mailing address
608 HOWARD ST APT E, SAN LUIS OBISPO, CA 93401-2422
(805) 550-7900
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
CA
Other
Enumeration date
06/05/2018
Last updated
06/05/2018
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