Individual provider · Type 1 NPI

Gino Anthony Memoli Iii

Marriage & Family Therapist · San Luis Obispo, CA

NPI number 1285333252 Active

Practice location

11549 Los Osos Valley Rd Ste 103
San Luis Obispo, CA 93405-6457

Call (805) 235-7792 Map

Specialties and licenses

TaxonomyCodeLicense
Marriage & Family Therapist 106H00000X2552 (TN)
Marriage & Family Therapist 106H00000X14072848-3902 (UT)
Marriage & Family Therapist 106H00000X146784 (CA)
Marriage & Family Therapist Primary 106H00000XMFT-962 (HI)

Marriage & Family Therapist: A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats ment…

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About NPI 1285333252

Gino Anthony Memoli Iii's National Provider Identifier is 1285333252, issued on Feb 28, 2023. The primary taxonomy on file is Marriage & Family Therapist (106H00000X), and the practice location is in San Luis Obispo, CA. The record was last updated on Feb 26, 2026.