Therapy Era Licensed Clinical Social Worker PC
NPI #1053129924 in San Luis Obispo, California
Provider Information
- NPI Number
- 1053129924
- Entity Type
- Organization
- Organization Name
- Therapy Era Licensed Clinical Social Worker PC
- Primary Specialty
- Social Worker - Clinical
- Enumeration Date
- Dec 24, 2024
- Last Updated
- Dec 24, 2024
Practice Location
- Address
- 641 HIGUERA ST STE 220
- City
- San Luis Obispo
- State
- California
- ZIP Code
- 93401-3548
- Phone
- (805) 235-5540
Authorized Official
- Name
- AUGUSTA GORDON, LCSW
- Title
- CEO
- Phone
- (347) 255-7637
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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