Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Gino Anthony Memoli III

Individual provider Marriage & Family Therapist · NPI 1285333252

Gino Anthony Memoli III is a Marriage & Family Therapist in San Luis Obispo, California. Licensed in California, Hawaii, Tennessee and Utah. Registered with an NPI since 2023.

Licensed in
CA, HI, TN, UT
In the registry since
2023
Specialties on file
4

Practice location Address checks out

11549 Los Osos Valley Rd Ste 103
San Luis Obispo, CA 93405-6457
Phone: (805) 235-7792
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Marriage & Family Therapist (primary) Taxonomy 106H00000X · Licence MFT-962 (HI)
Marriage & Family Therapist Taxonomy 106H00000X · Licence 2552 (TN)
Marriage & Family Therapist Taxonomy 106H00000X · Licence 14072848-3902 (UT)
Marriage & Family Therapist Taxonomy 106H00000X · Licence 146784 (CA)

Record details

NPI number1285333252
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedFebruary 28, 2023
Last updated in NPPESFebruary 26, 2026
Certification dateFebruary 26, 2026

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