Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Derose Marriage and Family Therapy Corporation

Organization Mental Health Clinic/Center (Including Community Mental Health Center) · NPI 1588249676

Derose Marriage and Family Therapy Corporation is a Mental Health Clinic/Center (Including Community Mental Health Center) in San Luis Obispo, California. Registered with an NPI since 2021.

In the registry since
2021
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Practice location Address checks out

1026 Palm St Ste 215
San Luis Obispo, CA 93401-3260
Phone: (805) 242-1375
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Clinic/Center (Including Community Mental Health Center) (primary) Taxonomy 261QM0801X

Record details

NPI number1588249676
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Leah Derose — Ceo · (805) 242-1375
Other names Derose Therapy Group
NPI enumeratedMarch 10, 2021
Last updated in NPPESMarch 10, 2021
Certification dateMarch 8, 2021
Mailing address1026 Palm St Ste 215, San Luis Obispo, CA 93401-3260

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