Fortitude Marriage and Family Therapy Incorporated
NPI #1730947441 in San Luis Obispo, California
Provider Information
- NPI Number
- 1730947441
- Entity Type
- Organization
- Organization Name
- Fortitude Marriage and Family Therapy Incorporated
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- FORTITUDE MARRIAGE AND FAMILY THERAPY INCORPORATED
- Primary Specialty
- Marriage & Family Therapist
- Enumeration Date
- Mar 7, 2024
- Last Updated
- May 14, 2024
Practice Location
- Address
- 11549 LOS OSOS VALLEY RD STE 103
- City
- San Luis Obispo
- State
- California
- ZIP Code
- 93405-6457
- Phone
- (805) 235-7792
Authorized Official
- Name
- GINO ANTHONY MEMOLI III
- Title
- CEO
- Phone
- (805) 235-7792
Specialties & Taxonomy Codes
| Specialty |
|---|
| Marriage & Family Therapist |
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