Individual
ANGELA BOTHWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AMFT
Contact information
Practice address
1150 GROVE ST, SAN LUIS OBISPO, CA 93401-2914
(805) 220-9763
Mailing address
279 MONTEBELLO OAKS DR, PASO ROBLES, CA 93446-7147
(805) 406-9757
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
01/04/2025
Last updated
01/04/2025
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