Individual
MICHELLE LEA THAYER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPT
Contact information
Practice address
315 CAMINO DEL REMEDIO RM 257, SANTA BARBARA, CA 93110-1332
(805) 681-4777
(805) 681-5117
Mailing address
315 CAMINO DEL REMEDIO RM 257, SANTA BARBARA, CA 93110-1332
(805) 681-4777
(805) 681-5117
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
32516
CA
Other
Enumeration date
03/14/2018
Last updated
03/02/2021
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