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

Justen Dakota League, LPT

Individual provider Licensed Psychiatric Technician · NPI 1245965888

Justen Dakota League, LPT is a Licensed Psychiatric Technician in San Luis Obispo, California. Practices as a sole proprietor and works from 2 locations. Licensed in California.

Licensed in
CA
In the registry since
2022

Practice location Address checks out

2975 McMillan Ave Ste 164
San Luis Obispo, CA 93401-6768
Phone: (805) 439-4890
Show map & directions

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

Additional practice locations (1)

  • 2178 Johnson Ave, San Luis Obispo, CA 93401-4535 — (805) 781-4700

Specialties & licences

Licensed Psychiatric Technician (primary) Taxonomy 167G00000X · Licence 41076 (CA)

Record details

NPI number1245965888
Entity typeIndividual (Type 1)
GenderMale
Credentials LPT
Sole proprietorYes
NPI enumeratedJuly 18, 2022
Last updated in NPPESJanuary 3, 2025
Certification dateJanuary 3, 2025

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