Individual
JAMIE PEREIRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
11295 LOS OSOS VALLEY RD APT 4, SAN LUIS OBISPO, CA 93405-6345
(805) 234-0930
Mailing address
11295 LOS OSOS VALLEY RD APT 4, SAN LUIS OBISPO, CA 93405-6345
(805) 234-0930
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
108104
CA
Other
Enumeration date
12/06/2022
Last updated
12/06/2022
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