Individual provider · Type 1 NPI

Derek Smith Lauritzen

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

NPI number 1619735503 Active

Practice location

2180 Johnson Ave
San Luis Obispo, CA 93401-4558

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

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About NPI 1619735503

Derek Smith Lauritzen's National Provider Identifier is 1619735503, issued on Mar 6, 2024. 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 Mar 11, 2024.