Individual provider · Type 1 NPI

Mardi A. Geredes, MA, RRW

Addiction (Substance Use Disorder) Counselor · San Luis Obispo, CA

NPI number 1194931014 Active

Practice location

2945 Mcmillan Ave, Ste. 136
San Luis Obispo, CA 93401-6766

Call (805) 781-1433 Map

Fax (805) 781-1267

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XRW0886 (CA)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1194931014

Mardi A. Geredes, MA, RRW's National Provider Identifier is 1194931014, issued on May 15, 2007. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in San Luis Obispo, CA. The record was last updated on Jul 8, 2007.