Individual provider · Type 1 NPI

Kelly Ann Antista Sultan

Mental Health Counselor · San Luis Obispo, CA

NPI number 1124252077 Active

Practice location

3765 S Higuera St, Ste 100
San Luis Obispo, CA 93401-1570

Call (805) 781-3535 Map

Mailing address

1828 Fixlini St., Apt B
San Luis Obispo, CA 93401

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1124252077

Kelly Ann Antista Sultan's National Provider Identifier is 1124252077, issued on May 6, 2009. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in San Luis Obispo, CA. The record was last updated on Aug 13, 2015.