Individual provider · Type 1 NPI

Justin Allen Bieber

Mental Health Counselor · San Luis Obispo, CA

NPI number 1174034219 Active

Practice location

1255 Kendall Rd
San Luis Obispo, CA 93401-8750

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XNone listed
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1174034219

Justin Allen Bieber's National Provider Identifier is 1174034219, issued on Oct 17, 2017. 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 Oct 17, 2017.