Individual provider · Type 1 NPI

Nicholas Philip San Juan

Mental Health Counselor · San Luis Obispo, CA

NPI number 1962632794 Active

Practice location

978 Valecito Ct
San Luis Obispo, CA 93405-4740

Call (805) 781-3535 Map

Mailing address

1408 Revere St
Santa Maria, CA 93455

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1962632794

Nicholas Philip San Juan's National Provider Identifier is 1962632794, issued on Jul 14, 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 Oct 12, 2011.