Geneva Mary Licht
Geneva Mary Licht is a Mental Health Counselor in San Luis Obispo, California. Registered with an NPI since 2011.
- In the registry since
- 2011
Practice location Address checks out
227 S St Ste YSan Luis Obispo, CA 93401
Phone: (415) 497-8212
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Specialties & licences
| Mental Health Counselor (primary) | Taxonomy 101YM0800X |
|---|
Record details
| NPI number | 1952678336 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | November 29, 2011 |
| Last updated in NPPES | November 29, 2011 |
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